Individual provider · Type 1 NPI

Adaline Lee Peterson, A.R.N.P.

Obstetrics & Gynecology Nurse Practitioner · Waterloo, IA

NPI number 1124005236 Active

Practice location

146 W Dale St, Suite 102
Waterloo, IA 50703-1901

Fax (319) 235-5107

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Nurse Practitioner Primary 363LX0001XF-034796 (IA)

Obstetrics & Gynecology Nurse Practitioner: Definition to come...

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About NPI 1124005236

Adaline Lee Peterson, A.R.N.P.'s National Provider Identifier is 1124005236, issued on Dec 29, 2005. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Waterloo, IA. The record was last updated on Jul 13, 2026.