Individual
SYDNEY GRACE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CRNA
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 746-7211
Mailing address
100 HOOD DR, CANFIELD, OH 44406-1653
(330) 360-4073
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
451473
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
0021095
OH
Other
Enumeration date
06/30/2021
Last updated
07/17/2024
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