Individual
VALARIE ANNE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
130 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 233-1534
Mailing address
137 LULLWATER RD, GREENVILLE, SC 29607-1116
(864) 360-1412
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F 1802
SC
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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