MRS. ROSE CHRISTINE PETERSON


Address: 8 Jennifer Ln, Middle Island, NY 11953-3005
Phone: 6315046487

MRS. ROSE CHRISTINE PETERSON (NPI# 1548564966) 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) 1548564966
Entity Type Individual
Full Name MRS. ROSE CHRISTINE PETERSON
Credential NPP
Practice Address 8 Jennifer Ln
Middle Island
NY 11953-3005
Practice Telephone 6315046487
Practice Fax Number 6315046487
Mailing Telephone 6315046487
Mailing Fax Number 6315046487
Enumeration Date 2010-12-28
Last Update Date 2010-12-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
F400387-1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers ROSE PETERSON

NPI Name Taxonomy Address Enumeration
1790011518 Rose Ann Peterson Registered Nurse 830 Scenic Dr, Modesto, CA 95350-6131 2009-10-29

Office Location

Street Address 8 JENNIFER LN
City MIDDLE ISLAND
State NY
Zip Code 11953-3005

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City MIDDLE ISLAND
Zip Code 11953

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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