Individual
MOLLY PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
17670 WELCH PLZ STE 102, OMAHA, NE 68135-3805
(402) 403-5222
(402) 403-5233
Mailing address
12077 ELMWOOD DR., BENNINGTON, NE 68007
(402) 332-7648
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
111672
NE
363LF0000X
Family Nurse Practitioner
111672
NE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
111672
NE
Other
Enumeration date
06/19/2014
Last updated
07/21/2022
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