Christine Louise Peterson RN, CNM

NPI 1508142175 - Advanced Practice Midwife - 367A00000X

NPI Details
NPI 1508142175
Gender Female
Enumeration Date 10/27/2011
Last Updated 03/15/2013
Entity Type Individual
Active Over 5 years ago
Practice Location
2120 PACIFIC AVE SE
OLYMPIA WA, 98506-4753, US
Phone (360) 459-7222
Fax (360) 459-7223
Business Location
1322 HOMANN DR SE
LACEY WA, 98503-2481, US
Phone (210) 896-2241
Fax (210) 417-4221
Toxanomy
Taxonomy Code 367A00000X
License State Texas
License Number 705385
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According to our database, Christine Louise Peterson RN, CNM NPI is 1508142175, taxonomy code is 367A00000X and license number is 705385, license state is located at Texas. Christine Louise Peterson RN, CNM physically located at 2120 Pacific Ave Se, Olympia WA, 98506-4753. NPI Number Christine Louise Peterson RN, CNM has the Individual type.

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1508142175 NPI number is provided on an as is basis without warranty of any kind. 1508142175 is maintained by the National Plan & Provider Enumeration System. The contents of Christine Louise Peterson RN, CNM are for informational purposes only.