Individual provider · Type 1 NPI
Jeanette Marie Petermann, N.P.
Obstetrics & Gynecology Nurse Practitioner · Duarte, CA
NPI number
1659625622
Active
Practice location
1036 East Huntington Drive
Duarte, CA 91010
Fax (626) 357-4324
Mailing address
1811 Newcastle Lane
San Dimas, CA 91773
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | 343598 (CA) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
About NPI 1659625622
Jeanette Marie Petermann, N.P.'s National Provider Identifier is 1659625622, issued on Oct 30, 2012. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Duarte, CA. The record was last updated on Oct 30, 2012.