Individual provider · Type 1 NPI
Ann Peterson, NP
General Practice Registered Nurse · Medford, MA
NPI number
1104181445
Active
Practice location
2 Daly Rd
Medford, MA 02155-3702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | RN86754 (MA) |
| General Practice Registered Nurse | 163WG0000X | 067490 (CT) |
| General Practice Registered Nurse | 163WG0000X | 046055-21 (NH) |
General Practice Registered Nurse: Definition to come...
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About NPI 1104181445
Ann Peterson, NP's National Provider Identifier is 1104181445, issued on Jul 12, 2012. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Medford, MA. The record was last updated on Jul 12, 2012.