TINA RENAE PETERSON

ADA, OK
NPI1528747896
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OK  214202)
Enumeration Date2023-07-14
Last Update Date2023-07-14
Business Address
TINA RENAE PETERSON APRN-BC
1000 ROLLING HILLS LN
ADA, OK 74820-9415
Phone number: 580-436-3600
Mailing Address
TINA RENAE PETERSON APRN-BC
PO BOX 11
SULPHUR, OK 73086-0011
Phone number: 580-399-1452
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