Individual
REBECCA J PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
3525 ENSIGN RD NE STE J, OLYMPIA, WA 98506-5065
(360) 491-0459
(360) 491-5370
Mailing address
3525 ENSIGN RD NE STE J, OLYMPIA, WA 98506-5065
(360) 491-0459
(360) 491-5370
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30005731
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9630625
—
WA
Enumeration date
11/14/2006
Last updated
12/14/2007
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