Individual provider · Type 1 NPI
Deavon Alisha Peterson, FNP-C
Family Nurse Practitioner · Lafayette, LA
NPI number
1760720353
Active
Practice location
1103 Kaliste Saloom Rd Ste 208
Lafayette, LA 70508
Fax (337) 234-3733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP07245 (LA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1760720353
Deavon Alisha Peterson, FNP-C's National Provider Identifier is 1760720353, issued on Jan 17, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lafayette, LA. The record was last updated on May 21, 2018.