Individual
HEATHER CORRINE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3057 W CASINO AVE, PHOENIX, AZ 85083-5890
(623) 224-1303
Mailing address
3057 W CASINO AVE, PHOENIX, AZ 85083-5890
(623) 224-1303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
227471
AZ
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
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