KENT PETERSEN, RN

Registered Nurse

Active Individual
NPI: 1053559401

Practice Address

1604 VISA DR STE 1
Normal, IL 61761

Phone: (309) 846-4716

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X Yes 041300994 (IL)

Frequently Asked Questions

NPI 1053559401 is the National Provider Identifier for KENT PETERSEN, RN, a Registered Nurse provider located in Normal, IL. This NPI was enumerated on January 22, 2009.
KENT PETERSEN, RN practices at 1604 VISA DR STE 1, Normal, IL 61761.

Quick Facts

NPI
1053559401
Type
Individual
Enumerated
Jan 22, 2009
Last Updated
Jan 22, 2009

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