Individual
NICOLE MAREE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3950 KEENE RD, WEST RICHLAND, WA 99353-4901
(509) 942-3130
(509) 628-8335
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(509) 942-3627
(509) 627-2983
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61094911
WA
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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