Individual
VAGN PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, NP
Contact information
Practice address
1001 POTRERO AVENUE, SUITE 3A, SFGH - TRAUMA SURGERY SERVICE, SAN FRANCISCO, CA 94110
(415) 206-4073
Mailing address
728 ALABAMA ST, UNIT 101, SAN FRANCISCO, CA 94110
(415) 282-2110
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
14222
CA
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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