Individual
MEGAN PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-2894
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61193812
WA
Other
Enumeration date
08/04/2021
Last updated
12/31/2024
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