Individual
SHERRIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-BC
Contact information
Practice address
4227 9TH AVE S, FARGO, ND 58103-2018
(701) 282-6561
Mailing address
4227 9TH AVE S, FARGO, ND 58103-2018
(701) 282-6561
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
R20492
ND
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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