1306568654 NPI number — STACEY RAE PETERSEN NURSE PRACTITIONER

Table of content: STACEY RAE PETERSEN NURSE PRACTITIONER (NPI 1306568654)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306568654 NPI number — STACEY RAE PETERSEN NURSE PRACTITIONER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PETERSEN
Provider First Name:
STACEY
Provider Middle Name:
RAE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
NURSE PRACTITIONER
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306568654
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/08/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
714 LINCOLN ST NE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LE MARS
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
51031-3311
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
712-546-7871
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
899 E 12TH STREET APT 9453
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DES MOINES
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50304-5030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
712-541-1949
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/14/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  A171201 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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