Individual
NANETTE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
716 PHILLIPS LN, STATESVILLE, NC 28625-4594
(704) 677-8004
Mailing address
716 PHILLIPS LN, STATESVILLE, NC 28625-4594
(704) 677-8004
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L23003
NC
Other
Enumeration date
07/16/2022
Last updated
07/16/2022
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