Individual
MRS. CHRISTINE MARIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 358-5437
(210) 358-5890
Mailing address
PO BOX 734812, DALLAS, TX 75373-4812
(210) 358-9501
(210) 358-9183
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
700385
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
700385
TX
Other
Enumeration date
08/12/2013
Last updated
07/09/2024
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