Individual provider · Type 1 NPI
Andrea Marie Peterson, CPNP-PC
Pediatric Nurse Practitioner · Modesto, CA
NPI number
1922569698
Active
Practice location
4120 Prescott Rd # B
Modesto, CA 95356-8418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 95020812 (CA) |
| Pediatrics Physician | 208000000X | 789792 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1922569698
Andrea Marie Peterson, CPNP-PC's National Provider Identifier is 1922569698, issued on Mar 26, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Modesto, CA. The record was last updated on Feb 13, 2023.