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Individual

MRS. BONNIE JANE PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
12935 HIGHWAY 231 431 N, HAZEL GREEN, AL 35750-8631
(256) 828-6766
(256) 261-7877
Mailing address
12935 HIGHWAY 231 431 N, HAZEL GREEN, AL 35750-8631
(256) 828-6766
(256) 261-7877

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1057945
AL

Other

Enumeration date
07/07/2006
Last updated
11/06/2013
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