Individual
LAURA S PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
15995 TUSCOLA RD, SUITE 208, APPLE VALLEY, CA 92307-2159
(760) 946-1592
(760) 946-1949
Mailing address
15995 TUSCOLA RD, SUITE 208, APPLE VALLEY, CA 92307-2159
(760) 946-1592
(760) 946-1949
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
NP 22436
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
NP 22436
CA
Other
Enumeration date
09/16/2013
Last updated
08/23/2023
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