Individual provider · Type 1 NPI

Dante Aliesh Peterson, APRN, FNP-C, PMHNP-BC

Family Nurse Practitioner · Pawtucket, RI

NPI number 1336578749 Active

Practice location

700 Narragansett Park Dr Ste 100
Pawtucket, RI 02861-4326

Fax (475) 275-7187

Mailing address

136 Lewiston St
Warwick, RI 02889-6026

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XAPRN03766 (RI)
Family Nurse Practitioner Primary 363LF0000XNPP37817 (RI)

Family Nurse Practitioner: Definition to come...

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About NPI 1336578749

Dante Aliesh Peterson, APRN, FNP-C, PMHNP-BC's National Provider Identifier is 1336578749, issued on Nov 6, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pawtucket, RI. The record was last updated on Jul 22, 2026.