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Contact Information

JOANN PETERSON
1005 LUJAN HILL RD
LAS CRUCES, NM88007-6304
 Phone: 575-523-4573
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Vocational Nurse

164X00000X
Indicates primary specialty

NPI Profile & details for JOANN PETERSON · (Female)

NPI Number 1881227262
Status Active
Credentials
Entity Individual
Enumeration date 02/13/2020
Last updated 02/13/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 209833
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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