Individual
KATIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1600 N MISSOURI AVE, MARCELINE, MO 64658-1012
(660) 376-2038
(660) 376-3011
Mailing address
1600 N MISSOURI AVE, MARCELINE, MO 64658-1012
(660) 376-2038
(660) 376-3011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017021979
MO
Other
Enumeration date
07/25/2017
Last updated
07/05/2019
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