| Amber Rae Peterson, LPN | |
|
7404 Timberline Ct, Black Hawk, SD 57718-9545 | |
| (605) 593-2682 | |
| Not Available |
| Full Name | Amber Rae Peterson |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 7404 Timberline Ct, Black Hawk, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285045674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | P011318 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Amber Rae Peterson, LPN 7404 Timberline Ct, Black Hawk, SD 57718-9545 Ph: (605) 593-2682 | Amber Rae Peterson, LPN 7404 Timberline Ct, Black Hawk, SD 57718-9545 Ph: (605) 593-2682 |
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