Individual provider · Type 1 NPI
Maeley Rose Peterson, NNP-BC
Critical Care Neonatal Nurse Practitioner · Sacramento, CA
NPI number
1972140804
Active
Practice location
2315 Stockton Blvd
Sacramento, CA 95817-2201
Fax (916) 703-3055
Mailing address
7649 Chappelle Way
Elk Grove, CA 95757-1681
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 95012668 (CA) |
| Critical Care Neonatal Nurse Practitioner Primary | 363LN0005X | 95012668 (CA) |
Critical Care Neonatal Nurse Practitioner: Definition to come...
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About NPI 1972140804
Maeley Rose Peterson, NNP-BC's National Provider Identifier is 1972140804, issued on Dec 10, 2019. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Sacramento, CA. The record was last updated on Dec 10, 2019.