Individual provider · Type 1 NPI

Kelli Ann Peterson, RN

Licensed Practical Nurse · Pendleton, OR

NPI number 1225276124 Active

Practice location

73265 Confederated Way
Pendleton, OR 97801

Call (541) 966-9830 Map

Mailing address

1011 SW 30th
Pendleton, OR 97801

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X200843278RN (OR)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1225276124

Kelli Ann Peterson, RN's National Provider Identifier is 1225276124, issued on Jan 30, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Pendleton, OR. The record was last updated on Jan 30, 2009.