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Individual
TERRANCE PETERSON
Active
Individual
TERRANCE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-177925
AL
363L00000X
Nurse Practitioner
10027802
OR
Other
Enumeration date
04/03/2024
Last updated
06/01/2026
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