Petersen, Anna Marie
Petersen, Anna Marie is an sole proprietor health care provider with primary practice located at 2201 South Ave , South Lake Tahoe CA 96150-7025. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Petersen, Anna Marie can be contacted via phone (530) 543-5623.Contact Information
Primary practice address
2201 South Ave
South Lake Tahoe CA 96150-7025
Phone: (530) 543-5623
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 95022656 | California |
Profile Details
NPI number | 1174245021 |
---|---|
LBN Legal business name | Petersen, Anna Marie |
Credentials | FNP-BC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 16th, 2022 |
Last updated | Sep 16th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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