Individual provider · Type 1 NPI

Nicholas Colin Petersen

Student in an Organized Health Care Education/Training Program · Newark, DE

NPI number 1780079939 Active

Practice location

4701 Ogletown Stanton Rd
Newark, DE 19713-2055

Call (302) 623-4500 Map

Mailing address

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780079939

Nicholas Colin Petersen's National Provider Identifier is 1780079939, issued on Apr 4, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newark, DE. The record was last updated on Apr 4, 2015.