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Carolyn Peterson

Licensed Practical Nurse in Ft. Rucker, AL. Individual provider (NPI-1).

NPI number1285802017
StatusActive
Last updated in NPPESFeb 14, 2008

Details

NPI
1285802017
Entity type
Individual (NPI-1)
Name
Carolyn Peterson
Sex
Female
Sole proprietor
No
Enumeration date
Feb 14, 2008
Last updated
Feb 14, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse2-033900ALYes

Practice location

301 Andrews Ave
Ft. Rucker, AL 36362

Phone 334-255-7883

Mailing address

301 Andrews Ave
Ft. Rucker, AL 36362

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Other Licensed Practical Nurse providers in Ft Rucker, AL

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