Peterson Family Healthcare

NPI #1225345275 in Erwin, Tennessee

Provider Information

NPI Number
1225345275
Entity Type
Organization
Organization Name
Peterson Family Healthcare
Primary Specialty
Nurse Practitioner
Enumeration Date
Sep 10, 2010
Last Updated
Sep 10, 2010

Practice Location

Address
1201 N MAIN AVE STE 3
City
Erwin
ZIP Code
37650-9102
Phone
(423) 341-0629

Authorized Official

Name
SHANNA B PETERSON, FNP
Title
SOLE MEMBER
Phone
(423) 341-0629

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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