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Nicky Petersen
Student in an Organized Health Care Education/Training Program in Fernley, Nevada
NPI 1760083505

Nicky Petersen is a Student in an Organized Health Care Education/Training Program based in Fernley, NV. Nicky Petersen practices in Fernley, NV. The NPI Number for Nicky Petersen is 1760083505 and holds a License No. (Nevada).

The current practice location address for Nicky Petersen is 646 Canary Cir, Fernley, NV and can be reached out via phone at 775-722-5985.

Location: 646 Canary Cir, Fernley, NV, 89408-6501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760083505
Provider Name
Nicky Petersen
Credential
Provider Entity Type
Individual
Gender
Female
Address
646 Canary Cir, Fernley, NV, 89408-6501
Phone Number
775-722-5985
Fax Number
Provider Enumeration Date
11/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
646 Canary Cir
City
Fernley
State
Nevada
Zip
89408-6501
Phone Number
775-722-5985
Fax Number
person
Provider Business Mailing Address Details
Address
646 Canary Cir
City
Fernley
State
Nevada
Zip
89408-6501
Phone Number
775-722-5985
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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