Individual
DR. MICHELLE RENAE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP
Contact information
Practice address
5425 W 132ND TER, LEAWOOD, KS 66209-3440
(402) 968-6829
Mailing address
2529 MADISON ST, BELLEVUE, NE 68005-5366
(402) 968-6829
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
112170
NE
Other
Enumeration date
02/22/2017
Last updated
06/08/2022
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