Individual
MS. CHRISTINE H PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3900 WOODLAND AVE, MODULE D, PHILADELPHIA, PA 19104-4551
(215) 823-5800
(215) 823-4411
Mailing address
1720 LOMBARD ST, #502, PHILADELPHIA, PA 19146-1544
(215) 823-5800
(215) 823-4411
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
VP001867H
PA
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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