Individual
MS. CAROL VIRGINIA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1700 MALL DR, DULUTH, MN 55811-3849
(218) 727-0990
(218) 491-7050
Mailing address
1700 MALL DR, DULUTH, MN 55811-3849
(218) 727-0990
(218) 491-7050
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
133133-030
WI
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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