Individual provider · Type 1 NPI

Alice Petersen, MSN, FNP-C, CCRA

Family Nurse Practitioner · Faison, NC

NPI number 1902405665 Active

Practice location

444 SW Center St
Faison, NC 28341-8820

Fax (910) 267-8989

Mailing address

PO Box 187
Faison, NC 28341-0187

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X5018386 (NC)

Family Nurse Practitioner: Definition to come...

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About NPI 1902405665

Alice Petersen, MSN, FNP-C, CCRA's National Provider Identifier is 1902405665, issued on Oct 22, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Faison, NC. The record was last updated on Aug 3, 2023.