Individual
CYNTHIA J PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
307 S ROBERTSON BLVD, BEVERLY HILLS, CA 90211-3602
(310) 299-4663
Mailing address
N3785 DEER LN, CLINTONVILLE, WI 54929-8541
(920) 279-0643
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95010572
CA
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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