Individual provider · Type 1 NPI

Er'real Rose Marie Peterson, APRN

Gerontology Nurse Practitioner · Temple Terrace, FL

NPI number 1396388500 Active

Practice location

12470 Telecom Dr Ste 100
Temple Terrace, FL 33637-0904

Fax (888) 977-1998

Mailing address

4320 Commons Dr W Unit 4102
Destin, FL 32541-8655

Specialties and licenses

TaxonomyCodeLicense
Hospitalist Physician 208M00000XAPRN11003381 (FL)
Nurse Practitioner 363L00000XAPRN11003381 (FL)
Gerontology Nurse Practitioner Primary 363LG0600XAPRN11003381 (FL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1396388500

Er'real Rose Marie Peterson, APRN's National Provider Identifier is 1396388500, issued on Oct 21, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Temple Terrace, FL. The record was last updated on Nov 3, 2020.