Individual
ALLIE NICOLE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1210 W 18TH ST STE G01, SIOUX FALLS, SD 57104-4651
(605) 328-2663
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CP003632
SD
363LF0000X
Family Nurse Practitioner
Primary
CP003632
SD
Other
Enumeration date
05/22/2025
Last updated
03/20/2026
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