Petersen, Debra Antoinette

Petersen, Debra Antoinette is an individual health care provider with primary practice located at 7131 Indianapolis Blvd , Hammond IN 46324. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Petersen, Debra Antoinette can be contacted via phone (219) 845-0848.

Contact Information

Primary practice address
7131 Indianapolis Blvd Hammond IN 46324
Phone: (219) 845-0848
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28063616A Indiana

Profile Details

NPI number 1417039652
LBN Legal business name Petersen, Debra Antoinette
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jul 8th, 2007 - about 17 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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