Individual provider · Type 1 NPI

Kelly Peterson, ARNP

Adult Health Nurse Practitioner · Tacoma, WA

NPI number 1164087730 Active

Practice location

1901 S Cedar St Ste 101
Tacoma, WA 98405-2302

Other practice locations

  • 410 W 10th Ave, Columbus, OH 43210-1240 · (614) 293-8000

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN.382825 (OH)
Critical Care Medicine Nurse Practitioner 363LC0200XAPRN.CNP.025246 (OH)
Adult Health Nurse Practitioner Primary 363LA2200XAP61095811 (WA)

Adult Health Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1164087730

Kelly Peterson, ARNP's National Provider Identifier is 1164087730, issued on May 8, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Tacoma, WA. The record was last updated on Feb 23, 2021.