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Search › New York › 174400000X

Shelley Petersen

NPI 1770848152 · on the registry since 2012 · sole proprietor

Practice

Address
138 North Court Street
Wampsville, NY 13163
Phone
(315) 366-2363
Organisation at this address
Madison County
Madison County
Madison County Ems
Madison County Health Deptartment
Madison County Department Of Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
104

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-07-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York