Individual
RACHELLE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10707 PACIFIC ST, SUITE 101, OMAHA, NE 68114-4762
(402) 397-7989
(402) 397-8703
Mailing address
10717 VIRGINIA PLZ STE 121, LA VISTA, NE 68128-4229
(402) 779-6558
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111943
NE
Other
Enumeration date
08/05/2016
Last updated
07/24/2023
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