Individual
BONNIE KAYE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1210 W 18TH ST STE G01, SIOUX FALLS, SD 57104-4651
(605) 328-2663
Mailing address
5701 S CHUCK DR, SIOUX FALLS, SD 57108-2630
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001607
SD
Other
Enumeration date
07/16/2019
Last updated
08/22/2019
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