Individual provider · Type 1 NPI

Paula Ann Petersen

Acute Care Nurse Practitioner · Maywood, IL

NPI number 1972884062 Active

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Fax (708) 216-6626

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X209008853 (IL)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1972884062

Paula Ann Petersen's National Provider Identifier is 1972884062, issued on Sep 1, 2011. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Maywood, IL. The record was last updated on Sep 1, 2011.