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Individual
DAVID PETERSEN
Active
Individual
DAVID PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
SPO15897
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024030602
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F406902-01
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
SPO30250
PA
Other
Enumeration date
02/11/2016
Last updated
07/08/2026
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