Individual
AMY LYNN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17119 SAMANTHA RD, GRETNA, NE 68028-7009
(913) 683-8347
Mailing address
17119 SAMANTHA RD, GRETNA, NE 68028-7009
(913) 683-8347
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
01/16/2025
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