Individual provider · Type 1 NPI
Leslieann Lauren Peterson
Home Health Registered Nurse · Newark, NJ
NPI number
1194035899
Active
Practice location
544 Broadway
Newark, NJ 07104
Fax (973) 318-8317
Mailing address
PO Box 9506
Newark, NJ 07104-0506
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse Primary | 163WH0200X | 613612 (NY) |
Home Health Registered Nurse: Definition to come...
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About NPI 1194035899
Leslieann Lauren Peterson's National Provider Identifier is 1194035899, issued on Oct 14, 2010. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Newark, NJ. The record was last updated on Aug 9, 2021.