Morgan Michelle Petersen, FNP
Nurse Practitioner, Family in Roseburg, OR. Individual provider (NPI-1).
NPI number1114337698
StatusActive
Last updated in NPPESMay 5, 2014
Details
- NPI
- 1114337698
- Entity type
- Individual (NPI-1)
- Name
- Morgan Michelle Petersen
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 5, 2014
- Last updated
- May 5, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 201402485NP-PP | OR | Yes |
Practice location
427 W Carroll CtRoseburg, OR 97471-2368
Phone 541-580-7378
Mailing address
427 W Carroll CtRoseburg, OR 97471-2368
Phone 541-580-7378
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