Individual
CALISTA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3609 HALL ST, RAPID CITY, SD 57702-2225
(605) 431-6613
Mailing address
3609 HALL ST, RAPID CITY, SD 57702-2225
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R037676
SD
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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