Individual provider · Type 1 NPI

Desiree Elisabeth Peterson, CPNP-AC

Acute Care Nurse Practitioner · Fort Worth, TX

NPI number 1730844960 Active

Practice location

1401 W Pulaski St
Fort Worth, TX 76104-2717

Call (682) 885-8012 Map

Fax (682) 885-8014

Mailing address

PO Box 99213
Fort Worth, TX 76199-0213

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X1056679 (TX)
Acute Care Nurse Practitioner Primary 363LA2100X1056679 (TX)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1730844960

Desiree Elisabeth Peterson, CPNP-AC's National Provider Identifier is 1730844960, issued on Nov 2, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Fort Worth, TX. The record was last updated on Jun 17, 2022.