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Individual

ALISHA NICOLE PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, ARNP, FNP-C

Contact information

Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-4590
Mailing address
6206 138TH ST E, PUYALLUP, WA 98373-5800
(253) 241-2149

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60975349
WA

Other

Enumeration date
07/11/2019
Last updated
07/11/2019
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