Individual
JOSHUA RYAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2720 W BASELINE RD # 140, TEMPE, AZ 85283-1065
(602) 777-6000
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
135989
IA
363LF0000X
Family Nurse Practitioner
Primary
256596
AZ
363LF0000X
Family Nurse Practitioner
A135989
IA
Other
Enumeration date
05/31/2018
Last updated
02/25/2023
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