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Individual

NIKKI MICHELE PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
17 SHERMAN ST STE 2100, JAMESTOWN, NY 14701-7087
(716) 664-8510
(716) 664-8514
Mailing address
17 SHERMAN ST STE 2100, JAMESTOWN, NY 14701-7087
(716) 664-8510
(716) 664-8514

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F001849
NY
367A00000X
Advanced Practice Midwife
MW010172
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04739057
NY
Enumeration date
08/04/2009
Last updated
01/09/2025
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