Individual
KATHRYN MARY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1952 WHITNEY AVE STE 14, HAMDEN, CT 06517-1209
(203) 776-4444
(203) 776-4441
Mailing address
835 MIX AVE APT 506, HAMDEN, CT 06514-2113
(203) 848-8774
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9254
CT
Other
Enumeration date
03/31/2021
Last updated
06/11/2021
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