MARIAH PETERSEN

COEUR D ALENE, ID
NPI1336938752
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: ID  8771254)
Enumeration Date2025-05-02
Last Update Date2025-05-02
Business Address
MARIAH PETERSEN APP
1919 LINCOLN WAY STE 415
COEUR D ALENE, ID 83814-2527
Phone number: 208-625-4595
Mailing Address
MARIAH PETERSEN APP
6225 N CORNWALL ST
COEUR D ALENE, ID 83815-5084
Phone number: 661-447-3670
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