Search › Illinois › 363LA2200X
Hannah Petersen, AGPCNP-BC
NPI 1518465707 · on the registry since 2018
Practice
- Address
- 123 Wedgewood Dr
Columbia, IL 62236 - Phone
- (618) 281-2233
- Fax
- (618) 281-2244
- Organisation at this address
- Family Medicine In Columbia
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 1688 Old Gravois Rd, High Ridge, MO
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 163W00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-02-14
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 Illinois