Individual
COURTNEY N PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 COMMERCE WAY, SOUTH SIOUX CITY, NE 68776-6877
(402) 494-9171
Mailing address
465 CRYSTAL ST, LYONS, NE 68038-2521
(402) 870-7646
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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