Michelle Kay Petersen

NPI #1871481705 in Dixon, Illinois

Provider Information

NPI Number
1871481705
Entity Type
Individual
Name
Michelle Kay Petersen
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse's Aide
Enumeration Date
Jun 27, 2025
Last Updated
Jun 27, 2025

Practice Location

Address
813 CHESTNUT AVE
City
Dixon
ZIP Code
61021-3802
Phone
(815) 719-2625

Specialties & Taxonomy Codes

Specialty
Nurse's Aide

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