Individual
MS. REBECCA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1333 W GRAND RIVER AVE, HOWELL, MI 48843-1980
(517) 548-1900
Mailing address
PO BOX 1271, HIGHLAND, MI 48357-1271
(248) 521-0365
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704243512
MI
Other
Enumeration date
09/16/2021
Last updated
05/23/2024
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