Individual provider · Type 1 NPI
Christy M. Henderson-Peterson, N.P.
Licensed Practical Nurse · Stockton, CA
NPI number
1609957190
Active
Practice location
1721 Hammer Lane Suite A
Stockton, CA 95210-4116
Mailing address
PO Box 779
Stockton, CA 95201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | NP11839 (CA) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1609957190
Christy M. Henderson-Peterson, N.P.'s National Provider Identifier is 1609957190, issued on Oct 18, 2006. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Stockton, CA. The record was last updated on Feb 1, 2013.