Individual provider · Type 1 NPI

Shelley Petersen

Specialist · Wampsville, NY

NPI number 1770848152 Active

Practice location

138 North Court Street
Wampsville, NY 13163-0605

Call (315) 366-2363 Map

Mailing address

1640 Middle Rd
Oneida, NY 13421-4182

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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.

20 other providers at this address

About NPI 1770848152

Shelley Petersen's National Provider Identifier is 1770848152, issued on Jul 11, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Wampsville, NY. The record was last updated on Jul 11, 2012.