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Individual
ANDERS PETERSON
Active
Individual
ANDERS PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
113462
NE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71011345A
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CP001775
SD
Other
Enumeration date
07/15/2020
Last updated
04/01/2022
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