Individual
MARIA ANNA SOPHIA PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
585 W CHERRY ST STE 1, NORTH LIBERTY, IA 52317-9797
(319) 404-9326
Mailing address
585 W CHERRY ST STE 1, NORTH LIBERTY, IA 52317-9797
(319) 471-4556
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A163526
IA
Other
Enumeration date
09/26/2022
Last updated
02/03/2025
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