Individual
WENDY SUE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2745
(505) 272-5551
(505) 272-6845
Mailing address
933 BRADBURY DR SE, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
CNP-02181
NM
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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