ELLEN TANNER PETERSON RN CPNP MSN NPI 1295883742

NPI Information

NPI: 1295883742
Provider Name: ELLEN TANNER PETERSON, RN, CPNP, MSN
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
280 W MACARTHUR BLVD
OAKLAND, CA
ZIP 94611
Phone: (510) 752-6779
Get Directions

Ellen Tanner Peterson, RN, CPNP, MSN is a pediatrics nurse practitioner in Oakland, CA. Ellen Tanner Peterson, RN, CPNP, MSN NPI is 1295883742. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

280 W MACARTHUR BLVD
OAKLAND, CA
ZIP 94611-642
Phone: (510) 752-6779
Fax: (510) 752-7836

The enumeration date for this NPI number is 1/8/2007 and was last updated on 1/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	333228	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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