| Joshua D Petersen, ARNP | |
|
200 Hawkins Dr, Iowa City, IA 52242-1009 | |
| (319) 356-1763 | |
| (319) 356-8378 |
| Full Name | Joshua D Petersen |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 200 Hawkins Dr, Iowa City, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457505695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | C110956 (Iowa) | Primary |
| Entity Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua D Petersen, ARNP 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (319) 356-1763 | Joshua D Petersen, ARNP 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (319) 356-1763 |
Renee Gullickson, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 221 E College St, #211, Iowa City, IA 52240 Phone: 319-337-3313 | |
Dr. Daniel Timothy Holthaus, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1403 Mckinley Pl, Iowa City, IA 52246 Phone: 563-379-2100 | |
Bobbi J Jones, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2421 Fax: 319-356-3900 | |
Barbara A Gronstal, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2888 Fax: 319-353-8707 | |
Mrs. Connie Ann Shaw, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 Highway 6 W, Iowa City, IA 52246 Phone: 319-338-0581 Fax: 319-887-4920 | |
Mrs. Susan Renee Scott, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2941 Sierra Ct Sw, Iowa City, IA 52240 Phone: 319-337-7642 Fax: 319-339-1449 | |
Ms. Rhonda Jean Dunn, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-1311 Fax: 319-353-6290 |