Individual
AMY BETH PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1800 CAMELOT DR STE 300, VIRGINIA BEACH, VA 23454-2440
(757) 321-3300
(757) 321-3330
Mailing address
230 CLEARFIELD AVE STE 124, VIRGINIA BEACH, VA 23462-1832
(757) 321-3300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024178422
VA
363LF0000X
Family Nurse Practitioner
Primary
0024178422
VA
Other
Enumeration date
04/19/2020
Last updated
01/07/2021
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