| Nicole Elizabeth Peterson, ARNP | |
|
1646 305th St, Tama, IA 52339-9698 | |
| (641) 484-4094 | |
| Not Available |
| Full Name | Nicole Elizabeth Peterson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 1646 305th St, Tama, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932343001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | J-115527 (Iowa) | Primary |
| Entity Name | State University Of Iowa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477554814 PECOS PAC ID: 7618884230 Enrollment ID: O20031107000060 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Elizabeth Peterson, ARNP 1646 305th St, Tama, IA 52339-9698 Ph: (641) 484-4094 | Nicole Elizabeth Peterson, ARNP 1646 305th St, Tama, IA 52339-9698 Ph: (641) 484-4094 |
Mrs. Sherri Lynn Vesely, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 402 Siegel St, Tama, IA 52339 Phone: 641-484-3333 | |
Jason Sanders, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 402 Siegel St, Tama, IA 52339 Phone: 641-484-3333 Fax: 641-484-3208 | |
Alicia D Barron, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1646 305th St, Tama, IA 52339 Phone: 641-484-4094 Fax: 641-484-2432 | |
Amanda Heck, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 402 Siegel St, Tama, IA 52339 Phone: 641-484-3333 Fax: 641-484-3208 | |
Jenifer Mariann Cooper, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 402 Siegel St, Tama, IA 52339 Phone: 641-484-3333 Fax: 641-484-3208 | |
Erica Alexandra Quigley, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 402 Siegel St, Tama, IA 52339 Phone: 641-484-3333 Fax: 641-484-3208 |