Individual provider · Type 1 NPI

Larissa Kaneesha Peterson

Family Nurse Practitioner · Los Angeles, CA

NPI number 1225506397 Active

Practice location

1180 S Beverly Dr Ste 700
Los Angeles, CA 90035-1151

Call (424) 334-6288 Map

Mailing address

1 California St Ste 2300
San Francisco, CA 94111-5424

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X0024176854 (VA)
Family Nurse Practitioner Primary 363LF0000X95014921 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1225506397

Larissa Kaneesha Peterson's National Provider Identifier is 1225506397, issued on Nov 7, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on May 8, 2024.