Michelle E Petersen RN, CS, FNP

NPI 1811972458

Information of Michelle E Petersen RN, CS, FNP

The NPI 1811972458 is an Individual type. NPI No 1811972458 belongs to Michelle E Petersen. Michelle E Petersen RN, CS, FNP specializes in Family. She is practising at 1608 E Evergreen St, Cameron, Missouri 64429. You can also contact him via phone number (816) 632-5424.

Practice address located

  • 1608 E Evergreen St
  • Cameron, Missouri 64429
  • (816) 632-5424
  • (816) 632-5424

Mailling address located

  • 1600 E Evergreen St
  • Cameron, Missouri 64429
  • (816) 632-2101
  • (816) 649-3383
Michelle E Petersen RN, CS, FNP is PECOS enrolled.
NPI No 1811972458
Primary Taxonomy
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes363LF0000XFamily143970Missouri
Identifier for this provider
StateIdentifierTypeIssuer
MO500018369OtherMEDICARE RAILROAD
MO425746724Medicaidn/a
MO785A442Medicare ID-Type Unspecifiedn/a
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