Petersen, Anna Marie

Petersen, Anna Marie is an sole proprietor health care provider with primary practice located at 2201 South Ave , South Lake Tahoe CA 96150-7025. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Petersen, Anna Marie can be contacted via phone (530) 543-5623.

Contact Information

Primary practice address
2201 South Ave South Lake Tahoe CA 96150-7025
Phone: (530) 543-5623
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95022656 California

Profile Details

NPI number 1174245021
LBN Legal business name Petersen, Anna Marie
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2022
Last updated Sep 16th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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