MARLYN Y PETERS BSN NPI 1417089772

NPI Information

NPI: 1417089772
Provider Name: MARLYN Y PETERS, BSN
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
1504 TAUB LOOP
HOUSTON, TX
ZIP 77030
Phone: (713) 566-6711
Get Directions

Marlyn Y Peters, BSN is a women's health nurse practitioner in Houston, TX. Marlyn Y Peters, BSN NPI is 1417089772. 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:

1504 TAUB LOOP
HOUSTON, TX
ZIP 77030-608
Phone: (713) 566-6711
Fax: (713) 440-1200

The NPI 1417089772 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 3/12/2007 and was last updated on 2/18/2016.

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	363LW0102X	Nurse Practitioner	Women's Health	523891	TEXAS	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	84P278	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	MEDICARE NUMBER
2	1537334-01	MEDICAID	TEXAS
3	P67481	MEDICARE UPIN	TEXAS

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: 4/28/2024

NPI Synchronization or Removal

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