Chrisanna Marie Peterson

NPI #1861375933 in Ammon, Idaho

Provider Information

NPI Number: 1861375933
Entity Type: Individual
Name: Chrisanna Marie Peterson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jul 28, 2025
Last Updated: Jul 28, 2025

Practice Location

Address: 2705 E 17TH ST
City: Ammon
State: Idaho
ZIP Code: 83406-6669
Phone: (208) 346-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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