Individual provider · Type 1 NPI

Andre Peterson

Licensed Practical Nurse · Suwanee, GA

NPI number 1902569874 Active

Practice location

2855 Suwanee Lawrenceville Rd
Suwanee, GA 30024-3563

Call (770) 394-9055 Map

Mailing address

2058 Amber Trl
Duluth, GA 30096-4935

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	098977 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1902569874

Andre Peterson's National Provider Identifier is 1902569874, issued on Oct 18, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Suwanee, GA. The record was last updated on Oct 18, 2021.