Rebecca Jean Petersen LPN PE

NPI 1659436434 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1659436434
Gender Female
Enumeration Date 12/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
101 WILLMAR AVE SW
AFFILIATED COMMUNITY MEDICAL CENTERS
WILLMAR MN, 56201, US
Phone (320) 231-5000
Fax (320) 231-5067
Business Location
101 WILLMAR AVE SW
ACMC
WILLMAR MN, 56201, US
Phone (320) 231-5000
Fax (320) 231-5067
Toxanomy
Taxonomy Code 164W00000X
License State Minnesota
License Number L0553926
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According to our database, Rebecca Jean Petersen LPN PE NPI is 1659436434, taxonomy code is 164W00000X and license number is L0553926, license state is located at Minnesota. Rebecca Jean Petersen LPN PE physically located at 101 Willmar Ave Sw, Willmar MN, 56201. NPI Number Rebecca Jean Petersen LPN PE has the Individual type.

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1659436434 NPI number is provided on an as is basis without warranty of any kind. 1659436434 is maintained by the National Plan & Provider Enumeration System. The contents of Rebecca Jean Petersen LPN PE are for informational purposes only.