Individual
BONNIE J PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4405 E 26TH ST, SIOUX FALLS, SD 57103-4187
(605) 332-2883
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 366-7137
(605) 332-1617
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0345
SD
Other
Enumeration date
05/19/2006
Last updated
09/03/2024
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