| 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 |
Mrs. Denise E Bennett, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 103 Veronica Way, Normal, IL 61761 Phone: 815-219-0685 |
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 |
Julie L Dieterman, RN, CNOR, RNFA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1604 Visa Dr Ste 1, Normal, IL 61761 Phone: 309-846-4716 |
Rhonda Farley, RNFA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1604 Visa Dr, Suite 1, Normal, IL 61761 Phone: 309-846-4716 Fax: 309-454-7314 |
Harrison Krebs, MSN, RN, CCRN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 100 N University St, Normal, IL 61761 Phone: 309-438-2181 |
Terri Fletcher, 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 |
Andrew Terry, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-268-5488 |