Individual
MRS. MARIA PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2218
Mailing address
1109 SUNSET DR, LAWRENCE, KS 66044-4549
(913) 676-2218
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5375226082
KS
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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