Individual
DONNA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 PROSPECT AVE E, CLEVELAND, OH 44115-2609
(440) 578-8200
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.471224
OH
164W00000X
Licensed Practical Nurse
PN136555MIV
OH
Other
Enumeration date
02/03/2016
Last updated
02/10/2025
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