Individual
LINNEA DENISE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
116 POWELL CREEK CIR, NORTH FORT MYERS, FL 33917-4172
(239) 440-4856
Mailing address
116 POWELL CREEK CIR, NORTH FORT MYERS, FL 33917-4172
(239) 440-4856
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
126586
—
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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