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NPI Code Detail

MEDICARE: PETER NELSON ROSEN APN

MEDICARE: PETER NELSON ROSEN APN
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
1207Q00000XFamily Medicine PhysicianA114250IA

General Provider Information

NPI Number : 1851795033
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER NELSON ROSEN APN
Provider Business Mailing Address
First Line : 3172 COUNTRY CT NE
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-7966
Country : US
Telephone Number : 319-209-4117
Fax Number :
Provider Business Practice Location Address
First Line : 315 E 5TH ST STE 202
Second Line :
City : WATERLOO
State : IA
Zip : 50703-4757
Country : US
Telephone Number : 319-209-4117
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2014
Last Update Date : 03/04/2024

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Directions to “ PETER NELSON ROSEN APN” Practice Location

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