Carr Peterson, Mary T

Carr Peterson, Mary T is an individual health care provider with primary practice located at 1410 Sw Tradition Dr Ste 110 , Ankeny IA 50023. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Carr Peterson, Mary T can be contacted via phone (515) 875-9696.

Contact Information

Primary practice address
1410 Sw Tradition Dr Ste 110 Ankeny IA 50023
Phone: (515) 875-9696
Fax: (515) 875-9697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001597 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001597 Iowa

Profile Details

NPI number 1164496212
LBN Legal business name Carr Peterson, Mary T
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Aug 7th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164496212 NPPES
Iowa MEDICAID 2117994
Iowa MEDICAID 3117994
Iowa Other 37904
Iowa Other 37903
Iowa Other 37905
Iowa MEDICAID 1117994
Iowa MEDICAID 0634600
Iowa Other 37902

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