MEDICARE: MS. ANDREA NICOLE PETERSEN DNP, FNP

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
1	363LF0000X	Family Nurse Practitioner	2020026948	MO

General Provider Information

NPI Number	:	1669083382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANDREA NICOLE PETERSEN DNP, FNP

Provider Business Mailing Address
First Line	:	807 LA GRAND DR
Second Line	:
City	:	SEDALIA
State	:	MO
Zip	:	65301-7965
Country	:	US
Telephone Number	:	660-596-1605
Fax Number	:

Provider Business Practice Location Address
First Line	:	2410 S LIMIT AVE
Second Line	:
City	:	SEDALIA
State	:	MO
Zip	:	65301-6910
Country	:	US
Telephone Number	:	573-814-1170
Fax Number	:	573-530-1037

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2020
Last Update Date	:	08/06/2024

Similar Medicare Providers

1619028206 — PYRAMID HOMEMAKER SERVICES, INC.
Practice Location Address:

2422 S LIMIT AVE
SEDALIA, MO
65301-6910

Practice Phone: 888-824-1505
Practice Fax: 660-627-1127

1801430152 — BACK IN ACTION CHIROPRACTIC LLC
Practice Location Address:

2420 S LIMIT AVE
SEDALIA, MO
65301-6910

Practice Phone: 660-620-0276
Practice Fax: 660-438-6943

1649121575 — GRACE K GUNN LMSW
Practice Location Address:

1700 W MAIN ST
SEDALIA, MO
65301-3635

Practice Phone: 844-853-8937
Practice Fax: 660-885-3690

1760485312 — WILLIAM J SMITH M.D
Practice Location Address:

3700 S 10TH ST , SUITE 1
SEDALIA, MO
65301-2540

Practice Phone: 660-886-7800
Practice Fax: 660-886-3346

1467454645 — DR. GARY C. KITTO AND ASSOCIATES
Practice Location Address:

100 S LIMIT AVE
SEDALIA, MO
65301-3655

Practice Phone: 660-826-7909
Practice Fax: 660-826-6737

1326043787 — DR. KEVIN KYLE EDWARD CARL O.D.
Practice Location Address:

1200 WINCHESTER DR
SEDALIA, MO
65301-2467

Practice Phone: 660-826-2642
Practice Fax:

Directions to “ MS. ANDREA NICOLE PETERSEN DNP, FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.