Individual
SHIANNA PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RN
Contact information
Practice address
389 STONERIDGE DR, KALISPELL, MT 59901-7696
(406) 871-0291
Mailing address
389 STONERIDGE DR, KALISPELL, MT 59901-7696
(406) 871-0291
Taxonomy
Speciality
Code
Description
License number
State
163WN1003X
Nutrition Support Registered Nurse
Primary
NUR-RN-LIC-70321
MT
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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