KYRIE ALLISON PETERSON

FORT WAYNE, IN
NPI1336871318
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71012788A)
Enumeration Date2022-06-28
Last Update Date2022-10-17
Business Address
KYRIE ALLISON PETERSON
5693 YMCA PARK DR W
FORT WAYNE, IN 46835-3280
Phone number: 260-469-6603
Mailing Address
KYRIE ALLISON PETERSON
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: