Individual
CHEYENNE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W 27TH ST, SCOTTSBLUFF, NE 69361-4306
(308) 330-9668
Mailing address
220 W 27TH ST, SCOTTSBLUFF, NE 69361-4306
(308) 330-9668
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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