Individual
OLIVIA J PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
354 MAIN ST, HOLDEN, MA 01520-1754
(508) 981-0291
Mailing address
354 MAIN ST, HOLDEN, MA 01520-1754
(508) 981-0291
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN274668
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1301071
GROUP MEDICAID NUMBER
MA
Enumeration date
10/29/2009
Last updated
10/29/2009
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