Kathy L Petersburg is a Family in Decorah, Iowa. Kathy L Petersburg practices all healthcare services and medical treatments related to Family. The NPI Number for Kathy L Petersburg is 1508860974. The last update date is 2015-01-22.
Kathy L Petersburg's current location address is 901 Montgomery St, Decorah, Iowa. You can contact this provider via phone number 5633822911 and fax number 5633873102. The mailing address for Kathy L Petersburg is 901 Montgomery St, Decorah, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathy L Petersburg |
|---|---|
| Address | 901 Montgomery St, Decorah, Iowa |
| Phone Number | 5633822911 |
| Fax Number | 5633873102 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1508860974 |
|---|---|
| Provider Enumeration Date | 2005-06-13 |
| Last Updated Date | 2015-01-22 |
Provider Mailing Address Detail
| Address | 901 Montgomery St |
|---|---|
| City | Decorah |
| State | Iowa (IA) |
| Post Code | 5210123250 |
| Phone Number | 5633822911 |
| Fax Number | 5633873102 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 0696743-1 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 838721400 | MN | -- | |
| 1432070 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kathy L Petersburg by the Centers for Medicare & Medicaid Services?
The Kathy L Petersburg has been assigned the NPI (National Provider Identifier) 1508860974 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Kathy L Petersburg's facilities are geographically located?
The facilities of Kathy L Petersburg are physically situated at the following location: 901 Montgomery St, Decorah, IA, 5210123250.
What is Kathy L Petersburg's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kathy L Petersburg is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
When did the Kathy L Petersburg receive its 1508860974?
The Kathy L Petersburg was issued its 1508860974 on 2005-06-13, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Kathy L Petersburg most recently updated or revised?
The information pertaining to Kathy L Petersburg, including its address, specialty, and other relevant details, was last updated or revised on 2015-01-22.
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