CARLA PETERSEN — Medicare Enrolled Provider (PRACTITIONER - QUALIFIED AUDIOLOGIST, MA)
CARLA PETERSEN — Medicare Enrolled Provider (PRACTITIONER - QUALIFIED AUDIOLOGIST, MA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: CARLA PETERSEN; Type: Individual; NPI: 1003162785.
| Name | CARLA PETERSEN |
|---|---|
| Type | Individual |
| NPI | 1003162785 |
| Provider type | PRACTITIONER - QUALIFIED AUDIOLOGIST |
| State | MA |
| Enrollment ID | I20121030000095 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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