Individual
MEAGAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
648 CRESTWOOD BLVD, COVINGTON, LA 70433-8261
(985) 805-6721
Mailing address
648 CRESTWOOD BLVD, COVINGTON, LA 70433-8261
(985) 805-6721
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904390
MS
Other
Enumeration date
09/06/2020
Last updated
05/09/2022
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