Individual
KAREN E. PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
48 NELSON STREET, LEOMINSTER, MA 01453
(978) 466-4396
(978) 466-4029
Mailing address
1 VALLEY VIEW CIR, RUTLAND, MA 01543-1374
(978) 466-4396
(978) 466-4029
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
205602
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0325601
—
MA
Enumeration date
03/30/2006
Last updated
01/20/2016
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