Individual provider · Type 1 NPI
Kathy L. Petersburg, ARNP
Family Nurse Practitioner · Decorah, IA
NPI number
1508860974
Active
Practice location
901 Montgomery St
Decorah, IA 52101-2325
Fax (563) 387-3102
Mailing address
2253 Madison Rd
Decorah, IA 52101-7813
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0696743-1 (MN) |
| Family Nurse Practitioner Primary | 363LF0000X | J073230 (IA) |
Family Nurse Practitioner: Definition to come...
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Other family nurse practitioner providers in Decorah
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About NPI 1508860974
Kathy L. Petersburg, ARNP's National Provider Identifier is 1508860974, issued on Jun 13, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Decorah, IA. The record was last updated on Jan 22, 2015.