Individual provider · Type 1 NPI

Carrie Dawn Peterson

Student in an Organized Health Care Education/Training Program · Santa Rosa, CA

NPI number 1457790842 Active

Practice location

3333 Chanate Rd
Santa Rosa, CA 95404-1707

Call (707) 565-4700 Map

Mailing address

PO Box 1735
Healdsburg, CA 95448-1735

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XASW33005 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1457790842

Carrie Dawn Peterson's National Provider Identifier is 1457790842, issued on Jun 18, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 18, 2014.