Individual
MORGAN MICHELLE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
427 W CARROLL CT, ROSEBURG, OR 97471-2368
(541) 580-7378
Mailing address
427 W CARROLL CT, ROSEBURG, OR 97471-2368
(541) 580-7378
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201402485NP-PP
OR
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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