Individual provider · Type 1 NPI
Kellie Peterson
Licensed Practical Nurse · Montauk, NY
NPI number
1689599110
Active
Practice location
131 Edgemere St
Montauk, NY 11954-5382
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 356775 (NY) |
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.
Other licensed practical nurse providers in Montauk
About NPI 1689599110
Kellie Peterson's National Provider Identifier is 1689599110, issued on Aug 12, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Montauk, NY. The record was last updated on Aug 12, 2026.