Individual
HALEY C PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
160 HERITAGE WAY STE 103, KALISPELL, MT 59901-3127
(406) 871-6226
(406) 758-7925
Mailing address
246A FOREST DR, KALISPELL, MT 59901-2914
(406) 871-9987
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NUR-APRN-LIC-177754
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NUR-APRN-LIC-177754
APRN LICENSE NUMBER
MT
Enumeration date
08/30/2021
Last updated
07/21/2022
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