Individual provider · Type 1 NPI
Kristen Noele Petersen, APRN
Pediatric Nurse Practitioner · Madisonville, KY
NPI number
1659831568
Active
Practice location
200 Clinic Dr
Madisonville, KY 42431-1661
Fax (270) 825-6666
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 3013211 (KY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1659831568
Kristen Noele Petersen, APRN's National Provider Identifier is 1659831568, issued on Mar 25, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Madisonville, KY. The record was last updated on Dec 7, 2020.