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Individual

STEPHANIE ANN PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
21449 ROUGHOUT RD, REDDING, CA 96003-8209
(530) 262-7025
Mailing address
859 WASHINGTON ST # 203, RED BLUFF, CA 96080-2704
(530) 262-7025

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
716439
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95020435
CA

Other

Enumeration date
03/06/2008
Last updated
07/21/2022
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