Individual
MRS. KRISTEN MARIE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
339 RIDGEBRIAR DR, RICHARDSON, TX 75080-1920
(214) 244-1756
Mailing address
13488 THORNTON DR, FRISCO, TX 75035-7393
(214) 244-1756
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
705741
TX
Other
Enumeration date
02/24/2009
Last updated
09/24/2019
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