Individual
NICOLE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 MAIN ST N, VELVA, ND 58790-7309
(701) 509-6278
Mailing address
PO BOX 473, VELVA, ND 58790-0473
(701) 509-6278
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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