Individual provider · Type 1 NPI

John Petersen, NREMT

Emergency Registered Nurse · Indianapolis, IN

NPI number 1679378616 Active

Practice location

720 Eskenazi Ave
Indianapolis, IN 46202-5187

Mailing address

9500 Fairfax Blvd Apt 2521
Fairfax, VA 22031-2450

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse Primary 163WE0003X1224179 (TX)
Basic Emergency Medical Technician 146N00000X768753 (TX)
Registered Nurse 163W00000X1224179 (TX)

Emergency Registered Nurse: Definition to come...

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About NPI 1679378616

John Petersen, NREMT's National Provider Identifier is 1679378616, issued on Feb 14, 2025. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Indianapolis, IN. The record was last updated on Feb 3, 2026.