Individual
ELLEN DAVIS PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
6500 NORTH MOPAC EXPRESSWAY, BUILDING 3, SUITE 200, AUSTIN, TX 78731
(512) 458-8400
(512) 458-8593
Mailing address
6500 NORTH MOPAC EXPRESSWAY, BUILDING 3, SUITE 200, AUSTIN, TX 78731
(512) 458-8400
(512) 458-8593
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
2007004651
TX
Other
Enumeration date
10/05/2007
Last updated
11/09/2015
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