Individual ProviderSydney Rae PetersenStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address42nd And Emile St, Omaha, NE 68198-0001(402) 850-5478PECOS EnrollmentBased on the most recent information from CMS, provider Sydney Rae Petersen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1093551715Provider TypeIndividualFull NamePetersen, Sydney RaeGenderFemaleSole ProprietorNoEnumeration Date7/2/2024Last Updated7/2/2024Contact InformationPractice LocationPractice Address42nd And Emile St, Omaha, NE 68198-0001Phone(402) 850-5478FaxUnlisted FaxMailing LocationMailing Address42nd And Emile St, Omaha, NE 68198-0001PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer