ANDRIA JO PETERSEN

SIOUX FALLS, SD
NPI1194280156
Former NameANDRIA JO HOMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: SD  CP001529)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: SD  CP001529)
Enumeration Date2019-02-04
Last Update Date2019-06-10
Business Address
ANDRIA JO PETERSEN NP-C
2400 W 49TH ST
SIOUX FALLS, SD 57105-6581
Phone number: 605-312-8700
Mailing Address
ANDRIA JO PETERSEN NP-C
2400 W 49TH ST
SIOUX FALLS, SD 57105-6581
Phone number: 605-312-8700