Individual
TERA LYNNE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2830 STUART DAVIS ROAD, LEWISBURG, WV 24901
(304) 542-3927
Mailing address
121 LEE AVE, DANIELS, WV 25832-9417
(304) 549-2936
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
70535
WV
Other
Enumeration date
06/08/2012
Last updated
06/13/2013
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