Individual
MICHELLE MARIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3320 HAWTHORNE PL SE, TUMWATER, WA 98501-3596
(360) 878-7689
Mailing address
3320 HAWTHORNE PL SE, TUMWATER, WA 98501-3596
(360) 878-7689
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
60196123
WA
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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