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Ericka Leslie Petersen, CNP
Family Nurse Practitioner in Pierre, South Dakota
NPI 1073063905

Ericka Leslie Petersen is a Family Nurse Practitioner based in Pierre, SD and is specialized in Family. Ericka Leslie Petersen practices in Pierre, SD and has the professional credentials of CNP. The NPI Number for Ericka Leslie Petersen is 1073063905 and holds a License No. CP001145 (South Dakota).

The current practice location address for Ericka Leslie Petersen is 100 Mac Ln, Pierre, SD and can be reached out via phone at 605-224-5901.

Location: 100 Mac Ln, Pierre, SD, 57501-3391
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073063905
Provider Name
Ericka Leslie Petersen
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
100 Mac Ln, Pierre, SD, 57501-3391
Phone Number
605-224-5901
Fax Number
Provider Enumeration Date
10/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Mac Ln
City
Pierre
State
South Dakota
Zip
57501-3391
Phone Number
605-224-5901
Fax Number
person
Provider Business Mailing Address Details
Address
100 Mac Ln
City
Pierre
State
South Dakota
Zip
57501-3391
Phone Number
605-224-5901
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
CP001145 (South Dakota)
Definition
Definition to come...
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