person
Ethan Merrill Petersen
Student in an Organized Health Care Education/Training Program in Albuquerque, New Mexico
NPI 1821665936

Ethan Merrill Petersen is a Student in an Organized Health Care Education/Training Program based in Albuquerque, NM. Ethan Merrill Petersen practices in Albuquerque, NM. The NPI Number for Ethan Merrill Petersen is 1821665936 and holds a License No. (New Mexico).

The current practice location address for Ethan Merrill Petersen is 1 University Of New Mexico, Albuquerque, NM and can be reached out via phone at 505-272-4161 and via fax at 505-272-2776.

Location: 1 University Of New Mexico, Albuquerque, NM, 81731
person
Provider Profile Details
NPI Number
1821665936
Provider Name
Ethan Merrill Petersen
Credential
Provider Entity Type
Individual
Gender
Male
Address
1 University Of New Mexico, Albuquerque, NM, 81731
Phone Number
505-272-4161
Fax Number
505-272-2776
Provider Enumeration Date
06/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 University Of New Mexico
City
State
Zip
87131-0001
Phone Number
505-272-4161
Fax Number
505-272-2776
person
Provider Business Mailing Address Details
Address
1 University Of New Mexico
City
State
Zip
87131-0001
Phone Number
505-272-4161
Fax Number
505-272-2776
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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