Individual
MRS. REBEKAH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-1545
(608) 263-8100
(608) 262-6247
Mailing address
1433 CAMDEN RD, CHARLOTTE, NC 28203-6334
(704) 497-5950
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
307601
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
007208
NC
367500000X
Certified Registered Nurse Anesthetist
144060
NC
Other
Enumeration date
07/08/2021
Last updated
07/01/2025
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