Individual
MS. AMBER M PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN NURSE
Contact information
Practice address
724 N SPRING ST, HARRISON, AR 72601-2913
(866) 308-9925
(870) 741-4784
Mailing address
724 N SPRING ST, HARRISON, AR 72601-2913
(866) 308-9925
(870) 741-4784
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LTP006546
AR
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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