Individual
CHRISTINA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7287 W RIDGE RD, FAIRVIEW, PA 16415-1130
(814) 877-2360
Mailing address
7287 W RIDGE RD, FAIRVIEW, PA 16415-1130
(814) 877-2360
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP017068
PA
Other
Enumeration date
12/27/2016
Last updated
12/15/2021
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