Individual provider · Type 1 NPI
Revonda D. Peterson, ARNP
Gerontology Nurse Practitioner · Cape Coral, FL
NPI number
1891458683
Active
Practice location
5420 Chiquita Blvd S Apt C
Cape Coral, FL 33914-7418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 11015620 (FL) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1891458683
Revonda D. Peterson, ARNP's National Provider Identifier is 1891458683, issued on Oct 19, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Cape Coral, FL. The record was last updated on May 11, 2026.