Individual provider · Type 1 NPI

Larry L. Peterson, RN

Addiction (Substance Use Disorder) Registered Nurse · Dayton, OH

NPI number 1124459151 Active

Practice location

601 S Edwin C Moses Blvd
Dayton, OH 45417-3424

Mailing address

1716 Salem Ave
Springfield, OH 45505-4348

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X378059 (OH)
Home Health Registered Nurse 163WH0200X378059 (OH)
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X378059 (OH)
Addiction (Substance Use Disorder) Registered Nurse Primary 163WA0400XRN.378059 (OH)

Addiction (Substance Use Disorder) Registered Nurse: Definition to come...

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About NPI 1124459151

Larry L. Peterson, RN's National Provider Identifier is 1124459151, issued on Dec 2, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Dayton, OH. The record was last updated on Oct 2, 2019.