Individual
MS. ALICE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C, CCRA
Contact information
Practice address
444 SW CENTER ST, FAISON, NC 28341-8820
(910) 267-0421
(910) 267-8989
Mailing address
PO BOX 187, FAISON, NC 28341-0187
(910) 267-0421
(855) 996-9090
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5018386
NC
Other
Enumeration date
10/22/2020
Last updated
08/03/2023
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