Individual provider · Type 1 NPI

Theodora Rae Peterson

Registered Nurse · Tacoma, WA

NPI number 1265718092 Active

Practice location

2209 E 32nd St
Tacoma, WA 98404-4922

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN00074552 (WA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1265718092

Theodora Rae Peterson's National Provider Identifier is 1265718092, issued on Oct 25, 2011. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Tacoma, WA. The record was last updated on Oct 25, 2011.