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Anna Marie Petersen, FNP-BC
Primary Care Nurse Practitioner in South Lake Tahoe, California
NPI 1174245021

Anna Marie Petersen is a Primary Care Nurse Practitioner based in South Lake Tahoe, CA and is specialized in Primary Care. Anna Marie Petersen practices in South Lake Tahoe, CA and has the professional credentials of FNP-BC. The NPI Number for Anna Marie Petersen is 1174245021 and holds a License No. 95022656 (California).

The current practice location address for Anna Marie Petersen is 2201 South Ave, South Lake Tahoe, CA and can be reached out via phone at 530-543-5623.

Location: 2201 South Ave, South Lake Tahoe, CA, 96150-7025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174245021
Provider Name
Anna Marie Petersen
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
2201 South Ave, South Lake Tahoe, CA, 96150-7025
Phone Number
530-543-5623
Fax Number
Provider Enumeration Date
09/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2201 South Ave
City
South Lake Tahoe
State
California
Zip
96150-7025
Phone Number
530-543-5623
Fax Number
person
Provider Business Mailing Address Details
Address
2201 South Ave
City
South Lake Tahoe
State
California
Zip
96150-7025
Phone Number
530-543-5623
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
95022656 (California)
Definition
Definition to come...
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