Individual
MEAGAN SINA ELISE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, DNP
Contact information
Practice address
MADIGAN ARMY MEDICAL CTR 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1338
Mailing address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
(510) 205-4577
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
367A00000X
Advanced Practice Midwife
Primary
AP60610408
WA
Other
Enumeration date
06/20/2014
Last updated
03/14/2019
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