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Amy Janelle Petersen, NP
Family Nurse Practitioner in Modesto, California
NPI 1164981726

Amy Janelle Petersen is a Family Nurse Practitioner based in Modesto, CA and is specialized in Family. Amy Janelle Petersen practices in Modesto, CA and has the professional credentials of NP. The NPI Number for Amy Janelle Petersen is 1164981726 and holds a License No. 17191 (California).

The current practice location address for Amy Janelle Petersen is 3509 Coffee Rd, Modesto, CA and can be reached out via phone at 209-338-3000.

Location: 3509 Coffee Rd, Modesto, CA, 95355-1357
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164981726
Provider Name
Amy Janelle Petersen
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3509 Coffee Rd, Modesto, CA, 95355-1357
Phone Number
209-338-3000
Fax Number
Provider Enumeration Date
03/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3509 Coffee Rd
City
Modesto
State
California
Zip
95355-1357
Phone Number
209-338-3000
Fax Number
person
Provider Business Mailing Address Details
Address
3509 Coffee Rd
City
Modesto
State
California
Zip
95355-1357
Phone Number
209-338-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
17191 (California)
Definition
Definition to come...
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