Provider Demographics
NPI:1265910939
Name:PETERSON, BARBARA ANN (DNP, AGNP-C)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ANN
Last Name:PETERSON
Suffix:
Gender:F
Credentials:DNP, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:HALL-PERRINE CANCER CENTER
Mailing Address - Street 2:701 10TH STREET SE
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52403
Mailing Address - Country:US
Mailing Address - Phone:319-398-6732
Mailing Address - Fax:319-369-4486
Practice Address - Street 1:HALL-PERRINE CANCER CENTER
Practice Address - Street 2:701 10TH STREET SE
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52403
Practice Address - Country:US
Practice Address - Phone:319-398-6732
Practice Address - Fax:319-369-4486
Is Sole Proprietor?:No
Enumeration Date:2018-08-03
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAH106642363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health