Peterson, Cynthia W

Peterson, Cynthia W is an individual health care provider with primary practice located at 1801 Hickman Rd , Des Moines IA 50314-1505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Peterson, Cynthia W can be contacted via phone (515) 282-2200.

Contact Information

Primary practice address
1801 Hickman Rd Des Moines IA 50314-1505
Phone: (515) 282-2200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A094853 Iowa

Profile Details

NPI number 1285607507
LBN Legal business name Peterson, Cynthia W
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Mar 5th, 2021 - about 5 years ago

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 1285607507 NPPES
Iowa Other 36418 WELLMARK BLUE SHIELD
Iowa MEDICAID 1437244 WELLMARK BLUE SHIELD

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