Search › Washington › 163W00000X
Jerrod Peterson, RN
NPI 1164864856 · on the registry since 2013
Practice
- Address
- 19 Lakes Street
Nespelem, WA 99155 - Phone
- (509) 634-2900
- Fax
- (509) 634-2945
- Organisation at this address
- Dssh Ihs Colville Service Unit
Colville Indian Health Service
Dhhs Ihs Colville Service Unit
Confederated Tribes Of The Colville Reservation
Confederated Tribes Of The Colville ReservationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 25
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- ND
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-07-23
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 Washington