Rebecca Jean Petersen in Willmar - Licensed Practical Nurse
Rebecca Jean Petersen - NPI 1659436434
Rebecca Jean Petersen is a Licensed Practical Nurse in Willmar, Minnesota. Rebecca Jean Petersen practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Rebecca Jean Petersen is 1659436434. The last update date is 2007-07-08.
Rebecca Jean Petersen's current location address is 101 Willmar Ave Sw, Willmar, Minnesota. You can contact this provider via phone number 3202315000 and fax number 3202315067. The mailing address for Rebecca Jean Petersen is 101 Willmar Ave Sw, Willmar, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rebecca Jean Petersen |
|---|---|
| Address | 101 Willmar Ave Sw, Willmar, Minnesota |
| Phone Number | 3202315000 |
| Fax Number | 3202315067 |
| Sole Proprietor | N |
| Credentials | LPN PE |
NPI Number Detail
| NPI Number | 1659436434 |
|---|---|
| Provider Enumeration Date | 2006-12-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 101 Willmar Ave Sw |
|---|---|
| City | Willmar |
| State | Minnesota (MN) |
| Post Code | 56201 |
| Phone Number | 3202315000 |
| Fax Number | 3202315067 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | L0553926 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Post Comment/ Review Below
What is the Rebecca Jean Petersen's 1659436434?
The Rebecca Jean Petersen's NPI (National Provider Identifier) Number is 1659436434. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Rebecca Jean Petersen's physical address?
The Rebecca Jean Petersen is physically located at 101 Willmar Ave Sw, in the city of Willmar, MN, with the postal code 56201.
What is Rebecca Jean Petersen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Rebecca Jean Petersen is Licensed Practical Nurse, and the taxonomy classification code that categorizes this area of expertise is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1659436434 to Rebecca Jean Petersen?
The Centers for Medicare & Medicaid Services originally issued the 1659436434 to Rebecca Jean Petersen on 2006-12-22.
As of what date was the information pertaining to Rebecca Jean Petersen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Rebecca Jean Petersen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.