Individual
ELJENA MARIE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN FNP
Contact information
Practice address
119 ST. PATRICK, TONOPAH, NV 89049
(775) 482-9898
(775) 482-9900
Mailing address
PO BOX 1628, TONOPAH, NV 89049-1628
(775) 482-9898
(775) 482-9900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN002866
NV
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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