Individual
MRS. MAELEY ROSE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 703-3050
(916) 703-3055
Mailing address
7649 CHAPPELLE WAY, ELK GROVE, CA 95757-1681
(916) 390-5085
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
95012668
CA
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
95012668
CA
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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