Individual
MS. ANDREA NICOLE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP
Contact information
Practice address
2410 S LIMIT AVE, SEDALIA, MO 65301-6910
(573) 814-1170
(573) 530-1037
Mailing address
807 LA GRAND DR, SEDALIA, MO 65301-7965
(660) 596-1605
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020026948
MO
Other
Enumeration date
08/14/2020
Last updated
08/06/2024
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