Shannon Lynn Peterson, RN
Registered Nurse in Tucson, AZ. Individual provider (NPI-1).
NPI number1013127828
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1013127828
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shannon Lynn Peterson
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 23, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN 111543 | AZ | Yes |
Practice location
1200 W Speedway BlvdTucson, AZ 85745-2326
Phone 520-770-3658 · Fax 520-770-3787
Mailing address
4300 N Paseo RanchoTucson, AZ 85745-9679
Phone 520-743-3506
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