Individual provider · Type 1 NPI
Supatha Kimble Peters, FNP-C
Family Nurse Practitioner · Fort Eustis, VA
NPI number
1861984445
Active
Practice location
576 Jefferson Ave
Fort Eustis, VA 23604-1373
Other practice locations
- 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 · (808) 433-6661
- 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 · (762) 408-2273
- 24 S Adams St, Petersburg, VA 23803-4525 · (804) 732-2180
- 24 S Adams St, Petersburg, VA 23803-4525 · (804) 732-2180
- 1320 Lasalle Ave, Hampton, VA 23669-3801 · (757) 727-2577
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 0024175296 (VA) |
Family Nurse Practitioner: Definition to come...
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Other family nurse practitioner providers in Fort Eustis
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- Johnathan Matthew Taylor, DNP, APRN, NP-C, CENFamily Nurse Practitioner Fort Eustis, VA NPI 1336617349
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- Sangita Khanaldhakal, FNP-CFamily Nurse Practitioner Fort Eustis, VA NPI 1487387775
About NPI 1861984445
Supatha Kimble Peters, FNP-C's National Provider Identifier is 1861984445, issued on May 31, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Eustis, VA. The record was last updated on Nov 19, 2024.