Individual provider · Type 1 NPI

Kristy L. Petersen, ARNP

Gerontology Nurse Practitioner · Venice, FL

NPI number 1003313115 Active

Practice location

540 The Rialto
Venice, FL 34285-2900

Fax (941) 486-6931

Mailing address

PO Box 850001
Orlando, FL 32885-0001

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XARNP9335906 (FL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1003313115

Kristy L. Petersen, ARNP's National Provider Identifier is 1003313115, issued on Apr 6, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Venice, FL. The record was last updated on Apr 6, 2018.