Individual
HEIKE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 POLE CREEK XING, SIDNEY, NE 69162-2901
(308) 254-5825
Mailing address
1000 POLE CREEK XING, SIDNEY, NE 69162-2901
(308) 254-5825
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0173599
CO
363LF0000X
Family Nurse Practitioner
0995674
CO
363LF0000X
Family Nurse Practitioner
Primary
115291
NE
Other
Enumeration date
04/04/2014
Last updated
09/20/2024
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