Female

Rachelle Petersen APRN

Nurse Practitioner in Omaha, NE(View on Map)

Full Name

Rachelle Petersen APRN

NPI Number

1346794559

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/05/2016

Specialties

(Taxonomies)

Code

363L00000X

Primary Taxonomy

Yes

Licenses

State

Nebraska

License Number

111943

Contact
Information

Purpose

Mailing
Location

Address

10717 VIRGINIA PLZ STE 121
10707 PACIFIC ST

City

La Vista
Omaha

State

NE
NE

Postal Code

68128-4229
68114-4762

Country

US
US

Telephone Number

(402) 779-6558
(402) 397-7989

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/24/2023

Provider Address

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