Individual
CARRIE M PETERSON
Active
Individual
CARRIE M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 126897-7
MN
367500000X
Certified Registered Nurse Anesthetist
1329
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
6679
NC
Other
Enumeration date
01/11/2006
Last updated
09/10/2021
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