Individual
CORY ANNE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 262-8900
Mailing address
2390 E CAMELBACK RD STE 130, PHOENIX, AZ 85016-3449
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
315312
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
RN201950
AZ
Other
Enumeration date
09/04/2024
Last updated
02/18/2026
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