Individual provider · Type 1 NPI

Jill Peterson

Specialist · Coeur D Alene, ID

NPI number 1700107612 Active

Practice location

6125 N Sunshine St
Coeur D Alene, ID 83815

Call (208) 964-4457 Map

Mailing address

213 E Miles Ave
Hayden, ID 83835-8204

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA 60093876 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2 other providers at this address

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About NPI 1700107612

Jill Peterson's National Provider Identifier is 1700107612, issued on Jun 15, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jun 15, 2010.