Individual
VICKY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15519 FIELDCREST CIR, OMAHA, NE 68154-2723
(402) 312-7005
Mailing address
15519 FIELDCREST CIR, OMAHA, NE 68154-2723
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
34896
NE
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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