Individual provider · Type 1 NPI
Brandy Ault Petersen, RN, MSN, ANP
Adult Health Nurse Practitioner · Hull, MA
NPI number
1194904532
Active
Practice location
180 George Washington Blvd
Hull, MA 02045-3069
Fax (617) 774-1906
Mailing address
110 W Squantum St
North Quincy, MA 02171-2122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 262850 (MA) |
Adult Health Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1194904532
Brandy Ault Petersen, RN, MSN, ANP's National Provider Identifier is 1194904532, issued on Nov 2, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Hull, MA. The record was last updated on Aug 1, 2013.