Individual
KERRIE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 LAKE PARK LN, HASTINGS, NE 68901-2663
(402) 617-3233
Mailing address
3801 LAKE PARK LN, HASTINGS, NE 68901-2663
(402) 617-3233
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
70151
NE
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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