Individual
CAROL L PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1601 N TUCSON BLVD, STE 14, TUCSON, AZ 85716-3425
(520) 795-4155
Mailing address
3339 N BENTLEY AVE, TUCSON, AZ 85716-1206
(520) 628-7564
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP2811
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A0707220
NAT'L CERT NP
—
01
—
AP2811
NURSE PRACTR LICENSE
AZ
Enumeration date
10/01/2007
Last updated
10/01/2007
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