Individual provider · Type 1 NPI

Nicole Peterson

Medical Physician Assistant · Merrillville, IN

NPI number 1992424048 Active

Practice location

200 E 89th Ave Ste 2A
Merrillville, IN 46410-7319

Fax (219) 736-6680

Other practice locations

  • 929 Ridge Rd Ste 5, Munster, IN 46321-1769 · (219) 836-2000

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X10003571A (IN)

Medical Physician Assistant: Definition to come...

7 other providers at this address

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About NPI 1992424048

Nicole Peterson's National Provider Identifier is 1992424048, issued on Aug 23, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Merrillville, IN. The record was last updated on Aug 23, 2022.