Individual provider · Type 1 NPI

Corie Peterson, NP

Family Nurse Practitioner · Grosse Pointe, MI

NPI number 1104352582 Active

Practice location

16815 E Jefferson Ave Ste 120
Grosse Pointe, MI 48230-1923

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice locations

  • 4401 Rockside Rd Ste 214, Independence, OH 44131-2147 · (330) 626-1113

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAPRN.CNP.020746 (OH)
Family Nurse Practitioner Primary 363LF0000X4704399838 (MI)

Family Nurse Practitioner: Definition to come...

15 other providers at this address

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About NPI 1104352582

Corie Peterson, NP's National Provider Identifier is 1104352582, issued on May 4, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grosse Pointe, MI. The record was last updated on Oct 30, 2023.