Individual
MCKAYLA PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(567) 225-3724
Mailing address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(567) 225-3724
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
455135
OH
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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