Individual provider · Type 1 NPI

Ericka Leslie Petersen, CNP

Family Nurse Practitioner · Pierre, SD

NPI number 1073063905 Active

Practice location

100 Mac Ln
Pierre, SD 57501-3391

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XCP001145 (SD)

Family Nurse Practitioner: Definition to come...

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About NPI 1073063905

Ericka Leslie Petersen, CNP's National Provider Identifier is 1073063905, issued on Oct 4, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pierre, SD. The record was last updated on Oct 23, 2018.