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Individual
REBECCA MARIE PETERSON
Active
Individual
REBECCA MARIE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1103083-30
WI
163W00000X
Registered Nurse
158979
KS
163W00000X
Registered Nurse
171766
IA
163W00000X
Registered Nurse
71585
NM
163W00000X
Registered Nurse
96247
NE
163W00000X
Registered Nurse
NUR-RN-LIC-179226
MT
163W00000X
Registered Nurse
RN.1685920
CO
163W00000X
Registered Nurse
Primary
RN60765920
WA
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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