Individual
CHET PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CCM, CDCES
Contact information
Practice address
745 RUSSELL ST, CRAIG, CO 81625-2019
(970) 824-8233
(970) 870-1326
Mailing address
745 RUSSELL ST, CRAIG, CO 81625-2019
(970) 824-8233
(970) 870-1326
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1629651
CO
163WC0400X
Case Management Registered Nurse
4241846
CO
163WD0400X
Diabetes Educator Registered Nurse
Primary
32305508
CO
Other
Enumeration date
12/30/2024
Last updated
01/02/2025
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