Individual provider · Type 1 NPI
Patrice Peterson
Military Health Care Provider · Prattville, AL
NPI number
1952110041
Active
Practice location
605 Mcqueen Village Rd Apt A
Prattville, AL 36066-7316
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver | 172A00000X | None listed |
| Home Health Aide | 374U00000X | None listed |
| Military Health Care Provider Primary | 171000000X | None listed |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
About NPI 1952110041
Patrice Peterson's National Provider Identifier is 1952110041, issued on Jan 3, 2025. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Prattville, AL. The record was last updated on Jan 3, 2025.