Individual provider · Type 1 NPI
Ricky Karl Peterson, RN
Emergency Registered Nurse · Philadelphia, PA
NPI number
1053036020
Active
Practice location
1200 Intrepid Ave
Philadelphia, PA 19112-1229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse Primary | 163WE0003X | RN61037467 (WA) |
Emergency Registered Nurse: Definition to come...
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About NPI 1053036020
Ricky Karl Peterson, RN's National Provider Identifier is 1053036020, issued on Oct 11, 2022. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 11, 2022.