Kent Petersen, RN | |
1604 Visa Dr Ste 1, Normal, IL 61761-2195 | |
(309) 846-4716 | |
(409) 454-1107 |
Full Name | Kent Petersen |
---|---|
Gender | Male |
Speciality | Registered Nurse |
Location | 1604 Visa Dr Ste 1, Normal, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053559401 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041300994 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Kent Petersen, RN 1604 Visa Dr Ste 1, Normal, IL 61761-2195 Ph: (309) 846-4716 | Kent Petersen, RN 1604 Visa Dr Ste 1, Normal, IL 61761-2195 Ph: (309) 846-4716 |
Ms. Maneesha T Joseph, FNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Suite 3400, Normal, IL 61761 Phone: 309-556-8300 Fax: 309-556-8295 | |
Mrs. Denise E Bennett, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 103 Veronica Way, Normal, IL 61761 Phone: 815-219-0685 | |
Clarissa Latulip, CRNA Registered Nurse Medicare: Medicare Enrolled Practice Location: 1302 Franklin Ave, Normal, IL 61761 Phone: 309-268-5867 | |
James M Mc Laughlin, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1604 Visa Dr Ste 1, Normal, IL 61761 Phone: 309-846-4716 Fax: 309-454-1107 | |
Michael Carey Ragen, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2000 N Linden St Apt M207, Normal, IL 61761 Phone: 773-319-9161 | |
Mr. Roy G. Haynes, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2200 Jacobssen Dr Ste B, Normal, IL 61761 Phone: 309-451-1123 Fax: 309-451-1212 |