Provider Demographics
NPI:1972840403
Name:PEETZ, ROBBE LOU (PA)
Entity Type:Individual
Prefix:
First Name:ROBBE
Middle Name:LOU
Last Name:PEETZ
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:ROBBE
Other - Middle Name:
Other - Last Name:SCHWEITZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:986805 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-6805
Mailing Address - Country:US
Mailing Address - Phone:402-559-8240
Mailing Address - Fax:402-559-8833
Practice Address - Street 1:985950 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-5950
Practice Address - Country:US
Practice Address - Phone:402-559-8240
Practice Address - Fax:402-559-8833
Is Sole Proprietor?:No
Enumeration Date:2013-01-03
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1053363A00000X
NE1707363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant