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Individual

ANASTASIA PETERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, RN

Contact information

Practice address
8600 STARBOARD DR APT 1176, LAS VEGAS, NV 89117-3424
(650) 946-7582
Mailing address
8600 STARBOARD DR APT 1176, LAS VEGAS, NV 89117-3424

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN83088
NV

Other

Enumeration date
09/25/2015
Last updated
09/25/2015
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