Individual provider · Type 1 NPI
Kent Petersen, RN
Registered Nurse · Normal, IL
Practice location
1604 Visa Dr Ste 1
Normal, IL 61761-2195
Fax (409) 454-1107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 041300994 (IL) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1053559401
Kent Petersen, RN's National Provider Identifier is 1053559401, issued on Jan 22, 2009. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Normal, IL. The record was last updated on Jan 22, 2009.