Individual
CARRIE JEAN PETERSON
Active
Individual
CARRIE JEAN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP8720
AZ
363LG0600X
Gerontology Nurse Practitioner
RN165205
AZ
Other
Enumeration date
03/11/2016
Last updated
12/11/2024
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