Individual
AMBER NICHOLE PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
654 N RACE ST, VAN WERT, OH 45891-1348
(567) 328-0113
Mailing address
654 N RACE ST, VAN WERT, OH 45891-1348
(567) 328-0113
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.120618-MEDS
OH
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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