Individual
BETTY LOU PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1721 N 4TH ST, BISMARCK, ND 58501-1715
(701) 391-6888
Mailing address
1721 N 4TH ST, BISMARCK, ND 58501-1715
(701) 391-6888
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R27967
ND
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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