Amalia Marie Petersen, RN

Practice location

Address

317 Main St., Eagle Butte, SD 57625-1012

Phone

(605) 964-3004

Fax

(605) 964-1156

Mailing address

PO Box 1012, Eagle Butte, SD 57625-1012

Registered specialties

Registry record

NPI

1043545981

Entity type

Individual

Sex (as registered)

Female

NPI issued

9 Oct 2009

Record last updated

9 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.