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Tod C Peterson
Psychiatric/Mental Health Nurse Practitioner in Longview, Washington
NPI 1841765864

Tod C Peterson is a Psychiatric/Mental Health Nurse Practitioner based in Longview, WA and is specialized in Psychiatric/Mental Health. Tod C Peterson practices in Longview, WA. The NPI Number for Tod C Peterson is 1841765864 and holds a License No. AP60877646 (Washington).

The current practice location address for Tod C Peterson is 600 Broadway St, Longview, WA and can be reached out via phone at 360-414-2236.

Location: 600 Broadway St, Longview, WA, 98632-3256
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841765864
Provider Name
Tod C Peterson
Credential
Provider Entity Type
Individual
Gender
Male
Address
600 Broadway St, Longview, WA, 98632-3256
Phone Number
360-414-2236
Fax Number
Provider Enumeration Date
10/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
600 Broadway St
City
Longview
State
Washington
Zip
98632-3256
Phone Number
360-414-2236
Fax Number
person
Provider Business Mailing Address Details
Address
600 Broadway St
City
Longview
State
Washington
Zip
98632-3256
Phone Number
360-414-2236
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
AP60877646 (Washington)
Definition
Definition to come...
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