Individual
NATHAN ALAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1210 W 18TH ST STE 100, SIOUX FALLS, SD 57104-4650
(605) 312-8500
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 351-9362
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001863
SD
363LF0000X
Family Nurse Practitioner
CP001863
SD
Other
Enumeration date
10/27/2020
Last updated
03/31/2022
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