Individual provider · Type 1 NPI
Stephanie Lynn Petersen, FNP
Family Nurse Practitioner · Charleston, SC
NPI number
1114249810
Active
Practice location
171 Ashley Ave
Charleston, SC 29425-0100
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60633476 (WA) |
| Family Nurse Practitioner Primary | 363LF0000X | 22348 (SC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1114249810
Stephanie Lynn Petersen, FNP's National Provider Identifier is 1114249810, issued on Feb 22, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charleston, SC. The record was last updated on Nov 28, 2018.