Individual
KORTNEY LYNN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
12751 W BELL RD STE 123, SURPRISE, AZ 85378-9738
(623) 688-2855
Mailing address
12751 W BELL RD STE 123, SURPRISE, AZ 85378-9738
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
227245
AZ
Other
Enumeration date
04/16/2026
Last updated
07/10/2026
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