Kelly Peterson
Nurse Practitioner - Adult Health Nurse Practitioner - Critical Care Medicine
1901 S Cedar St Ste 101
Tacoma
, Washington 98405-2302
Kelly Peterson
Nurse Practitioner - Adult Health Nurse Practitioner - Critical Care Medicine
1901 S Cedar St Ste 101
Tacoma
, Washington 98405-2302
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Kelly Peterson
- 1901 S Cedar St Ste 101
- Tacoma, WA
- Zip : 98405-2302
- Phone :
Second Address
- Kelly Peterson
- 1901 S Cedar St Ste 101
- Tacoma, WA
- Zip : 98405-2302
- Phone : (253) 301-5370
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FAQs
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What type of doctor is Kelly Peterson
In what state does Kelly Peterson practice in?
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What is Kelly Peterson ’s gender?
Is Kelly Peterson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | AP61095811 | WA |
| N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN.CNP.025246 | OH |
National Provider Identifier
| NPI | 1164087730 |
|---|---|
| Provider Name | Kelly Peterson |
| First Address | Tacoma, WA 98405-2302 |
| Second Address | Tacoma, WA 98405-2302 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2019 |
| Last Update Date | 23/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.