Individual
GABRIELLE ANN PETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
(765) 456-5687
Mailing address
1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
28204738A
IN
363L00000X
Nurse Practitioner
Primary
71010863A
IN
363LF0000X
Family Nurse Practitioner
F06202925
IL
Other
Enumeration date
05/14/2020
Last updated
08/09/2022
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