Raven Lee Petersen
Raven Lee Petersen is a Community Health Worker in Douglas, Wyoming. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1841 Madora AveDouglas, WY 82633-3057
Phone: (307) 358-2846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1851112288 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 18, 2024 |
| Last updated in NPPES | October 18, 2024 |
| Certification date | October 18, 2024 |
| Mailing address | 1841 Madora Ave, Douglas, WY 82633-3057 |
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Alex D Locke
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1841 Madora Ave, Douglas, WY 82633-3057 · (307) 358-2846
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Mrs. Corrie Rasmussen
1841 Madora Ave, Douglas, WY 82633-3057 · (303) 358-2846