Individual provider · Type 1 NPI

Sam Richard Petersen, CRNP

Acute Care Nurse Practitioner · Huntsville, AL

NPI number 1386900728 Active

Practice location

201 Sivley Rd SW Ste 500
Huntsville, AL 35801-5177

Other practice locations

  • 1912 Al Highway 157, Cullman, AL 35058-0609 · (256) 737-2000

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X1-109909 (AL)

Acute Care Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1386900728

Sam Richard Petersen, CRNP's National Provider Identifier is 1386900728, issued on Apr 10, 2012. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Huntsville, AL. The record was last updated on Dec 31, 2025.