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Individual

MS. GENEVA A. PETERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1505 EASTLAND DR STE 2200, BLOOMINGTON, IL 61701-7910
(309) 454-3456
(309) 454-6977
Mailing address
1505 EASTLAND DR STE 2200, BLOOMINGTON, IL 61701-7910
(309) 454-3456
(309) 454-6977

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-004837
IL

Other

Enumeration date
06/08/2006
Last updated
12/15/2025
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