Individual
HEATHER PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LMNT
Contact information
Practice address
2116 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4645
(308) 398-6540
Mailing address
706 LINCOLN AVE, SHELTON, NE 68876-9607
(308) 647-6738
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
609
NE
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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