NPI 1669242004

Julie Petersen

Practitioner Contractor Council Bluffs, IA

Practice location

Address: 20203 Lynn Ln, Council Bluffs, IA 51503-2512
Phone: (712) 310-4727

Registered specialties (4)

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Specialist

Other Service Providers Taxonomy 174400000X

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Health Information Specialist/Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Y00000X

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Registry record

NPI: 1669242004
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jan 2024
Record last updated: 8 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.