Individual
DANE K PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
100 N BRENT ST STE 301, VENTURA, CA 93003-2836
(805) 653-0101
Mailing address
100 N BRENT ST STE 301, VENTURA, CA 93003-2836
(805) 653-0101
(805) 641-0434
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95019314
CA
Other
Enumeration date
10/01/2021
Last updated
09/01/2025
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