Individual
COLLIN DAVID PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE, 525 VINE ST, NURSE ANESTHESIA PROGRAM, SUITE 230, WINSTON SALEM, NC 27101
(336) 716-1411
Mailing address
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE, 525 VINE ST, NURSE ANESTHESIA PROGRAM, SUITE 230, WINSTON SALEM, NC 27101
(336) 716-1411
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
8019
NC
Other
Enumeration date
08/17/2023
Last updated
11/21/2025
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