MICHELE M PETERS FNP NPI 1316965502

NPI Information

NPI: 1316965502
Provider Name: MICHELE M PETERS, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: DOC MARTINS INC A C C

PECOS Registration: Yes

Address:
240 S MONTEZUMA ST
PRESCOTT, AZ
ZIP 86303
Phone: (928) 830-1717
Get Directions

Michele M Peters, FNP is a family nurse practitioner in Prescott, AZ with 21 years of experience. Michele M Peters, FNP NPI is 1316965502. 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:

240 S MONTEZUMA ST
PRESCOTT, AZ
ZIP 86303-712
Phone: (928) 830-1717
Fax: (877) 835-3579

The NPI 1316965502 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 12/11/2019.

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	363LF0000X	Nurse Practitioner	Family	AP1836	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2297001(001)	OTHER	ARIZONA	CIGNA PPO
2	2297001(002)	OTHER	ARIZONA	CIGNA HMO
3	AZ0148050	OTHER	ARIZONA	BCBS OF AZ
4	7759594	OTHER	ARIZONA	AETNA
5	823147001	MEDICAID	ARIZONA
6	823147002	MEDICAID	ARIZONA

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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