Individual
MICHELLE JACQUELYN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
70 EAST ST, METHUEN, MA 01844-4597
(978) 687-0151
Mailing address
70 EAST ST, METHUEN, MA 01844-4597
(978) 687-0151
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2266613
MA
Other
Enumeration date
08/12/2013
Last updated
06/27/2014
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