Crystal Lynn Petersen, RDN, LD is a
Dietitian, Registered based in Grundy Center, Iowa. Crystal Lynn Petersen is licensed to practice in Iowa (license number 00703) and her current practice location is
201 E J Ave, Grundy Center, Iowa. She can be reached at her office (for appointments etc.) via phone at
(319) 824-5421.
NPI number for Crystal Lynn Petersen is 1659881597 and her current mailing address is 1334 C Ave, Gladbrook, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659881597.
Healthcare Provider's Profile
Full Name | Crystal Lynn Petersen |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 201 E J Ave, Grundy Center, Iowa |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659881597
- Provider Enumeration Date: 10/05/2017
- Last Update Date: 10/05/2017
Medical Identifiers
Medical identifiers for Crystal Lynn Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659881597 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 00703 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Lynn Petersen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Crystal Lynn Petersen, RDN, LD 1334 C Ave, Gladbrook, IA 50635-9356 Ph: (319) 239-4352 | Crystal Lynn Petersen, RDN, LD 201 E J Ave, Grundy Center, IA 50638-2028 Ph: (319) 824-5421 |
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