Individual
JOANN M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARNP
Contact information
Practice address
3901 RAINBOW BLVD MSC 4043, KANSAS CITY, KS 66160-0001
(913) 588-1645
Mailing address
PO BOX 9418, THE WOODLANDS, TX 77387-9418
(866) 249-9736
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1352084082
KS
363LF0000X
Family Nurse Practitioner
45355
KS
363LW0102X
Women's Health Nurse Practitioner
44247
KS
Other
Enumeration date
12/18/2006
Last updated
09/11/2025
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