NPI 1346602851
Jeannie C Peterson
Practice location
- Address
- 400 S Kendrick Ave Suite 104e, Gillette, WY 82716-3848
- Phone
- (307) 257-9990
- Fax
- (307) 222-0614
- Mailing address
- PO Box 1642, Evanston, WY 82931-1642
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1346602851
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Mar 2016
- Record last updated
- 13 Mar 2017
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.