MRS. DEBRA ANTOINETTE PETERSEN


Address: 7131 Indianapolis Blvd, Hammond, IN 46324
Phone: 2198450848

MRS. DEBRA ANTOINETTE PETERSEN (NPI# 1417039652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417039652
Entity Type Individual
Full Name MRS. DEBRA ANTOINETTE PETERSEN
Credential NURSE PRACTITIONER
Practice Address 7131 Indianapolis Blvd
Hammond
IN 46324
Mailing Address 8918 Blaine Pl
Crown Point
IN 46307-8102
Practice Telephone 2198450848
Mailing Telephone 2193652368
Mailing Fax Number 2193652408
Enumeration Date 2006-10-19
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
28063616A IN Physician Assistants & Advanced Practice Nursing Providers

Other Providers DEBRA PETERSEN

NPI Name Taxonomy Address Enumeration
1265951925 Debra Jean Petersen Psychiatry & Neurology 499 E Hampden Ave Ste 360, Englewood, CO 80113-3877 2017-09-13
1073634705 Debra Susan Petersen Social Worker 500 7th Ave S, Dept. 7470, St Petersburg, FL 33701-4820 2007-04-02

Office Location

Street Address 7131 INDIANAPOLIS BLVD
City HAMMOND
State IN
Zip Code 46324

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053970558 Trinity Walls Nurse Practitioner 7131 Indianapolis Blvd, Hammond, IN 46324-2220 2019-06-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174183024 Northwest Indiana Hospital, LLC General Acute Care Hospital 7904 Cabela Dr., Hammond, IN 46324 2019-06-13
1679049779 Secure Dental Viii Dentist 7905 Indianapolis Blvd, Indianan, IN 46324 2018-10-17
1710317615 Christopher Keown-belous Marriage & Family Therapist 7030 Indianapolis Blvd, Hammond, IN 46324 2013-11-14
1316296114 Planned Parenthood of Indiana Hammond Clinic/Center 7131 Indianapolis Blvd., Hammond, IN 46324 2012-09-07
1427343862 Amanda Rose Popovich Behavioral Analyst 7110 Magoun Avenue, Hammond, IN 46324 2011-06-14
1588804751 Tanesha Marnise Williams Technician 5831 Erie St, Hammond, IN 46324 2009-03-02
1568455467 Elisabeth Cleary Shearon Pathology Alvero Clinical Laboratories, 3434 Interstate Plaza Dr, Hammond, IN 46324 2005-08-25
1578958278 Aditya Shah Family Medicine 6920 Indianapolis Blvd, Hammond, IN 46324 2015-03-31
1770928509 Hammond Dental Group LLC Dentist 6414 Calumet Ave, Hammond, IN 46324 2013-05-07
1629338777 Shawn Phillip Naranjo Obstetrics & Gynecology 6920 Indianapolis Blvd, Hammond, IN 46324 2012-05-23
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578189544 Tiffany Burrowes Nurse Practitioner 41137 James Robert Dr, Hammond, LA 70403-7520 2020-06-24
1366074403 Elizabeth M Norman Nurse Practitioner 19065 Dr John Lambert Drive, Hammond, LA 70403 2020-02-06
1265078166 Michelle Antoinette Wilson Nurse Practitioner 45001 Tanglewood Dr, Hammond, LA 70401-4442 2019-11-26
1508327735 Naina Chhokar Nurse Practitioner 6933 Kennedy Ave Ste C, Hammond, IN 46323-2210 2019-03-29
1225501356 Miyako S Streeter Nurse Practitioner 31 Sibley St Ste A, Hammond, IN 46320 2019-01-11
1881143469 Taryn Petty Nurse Practitioner 31 Sibley St, Hammond, IN 46320 2016-09-23
1154797132 Sharon Hughes Nurse Practitioner 2511 Hwy. 190 E, Hammond, LA 70401 2015-08-13
1407128598 Family Health Care and Wellness Center Nurse Practitioner 2511 Highway 190 E, Hammond, LA 70401-8510 2012-02-03
1205124310 Letarsha Roulette Campbell Nurse Practitioner 1402 S Magnolia St, Suite A, Hammond, LA 70403-5020 2011-07-11
1881992568 Pauline E Burrall Nurse Practitioner 15770 Paul Vega Md Dr Ste 104, Hammond, LA 70403-1475 2011-03-04
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Competitor

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City HAMMOND
Zip Code 46324

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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