MS. ALICE PETERSEN MSN FNP-C CCRA NPI 1902405665

NPI Information

NPI: 1902405665
Provider Name: MS. ALICE PETERSEN, MSN, FNP-C, CCRA
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
444 SW CENTER ST
FAISON, NC
ZIP 28341
Phone: (910) 267-0421
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MS. Alice Petersen, MSN, FNP-C, CCRA is a family nurse practitioner in Faison, NC with 2 years of experience. MS. Alice Petersen, MSN, FNP-C, CCRA NPI is 1902405665. 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:

444 SW CENTER ST
FAISON, NC
ZIP 28341-820
Phone: (910) 267-0421
Fax: (910) 267-8989

The NPI 1902405665 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 10/22/2020 and was last updated on 8/3/2023.

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	5018386	NORTH CAROLINA	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: 4/28/2024

NPI Synchronization or Removal

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