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Individual

MRS. CHRISTINE R PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
802 2ND ST NW, BOWMAN, ND 58623-4483
(701) 523-5555
(701) 523-7107
Mailing address
802 2ND ST NW STE 1, BOWMAN, ND 58623-4469
(701) 523-5555
(701) 523-7107

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R24643
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
19699
ND
Enumeration date
06/10/2005
Last updated
03/07/2023
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