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NPI Code Detail

MEDICARE: MRS. BARBARA ARLENE PETERSEN APRN

MEDICARE: MRS. BARBARA ARLENE PETERSEN APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner110756NE

General Provider Information

NPI Number : 1235176413
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BARBARA ARLENE PETERSEN APRN
Provider Business Mailing Address
First Line : 601 W LEOTA ST
Second Line :
City : NORTH PLATTE
State : NE
Zip : 69101-6525
Country : US
Telephone Number : 308-696-8000
Fax Number :
Provider Business Practice Location Address
First Line : 601 W LEOTA ST
Second Line :
City : NORTH PLATTE
State : NE
Zip : 69101-6525
Country : US
Telephone Number : 308-696-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 07/06/2012

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