Individual
BEVERLY A PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LNA
Contact information
Practice address
10401 N CAVE CREEK RD LOT 310, PHOENIX, AZ 85020-1601
(623) 221-3625
Mailing address
10401 N CAVE CREEK RD LOT 310, PHOENIX, AZ 85020-1601
(623) 221-3625
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
LNA1000007648
AZ
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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