CYNTHIA MARIE PETERMANN NP-C NPI 1033399134

NPI Information

NPI: 1033399134
Provider Name: CYNTHIA MARIE PETERMANN, NP-C
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
2001 E GREENVILLE ST
ANDERSON, SC
ZIP 29621
Phone: (864) 332-3098
Get Directions

Cynthia Marie Petermann, NP-C is a gerontology nurse practitioner in Anderson, SC with 17 years of experience. Cynthia Marie Petermann, NP-C NPI is 1033399134. 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:

2001 E GREENVILLE ST
ANDERSON, SC
ZIP 29621-529
Phone: (864) 332-3098
Fax: (855) 232-3959

The NPI 1033399134 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 11/7/2007 and was last updated on 11/29/2021.

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	363LA2200X	Nurse Practitioner	Adult Health	222000	SOUTH CAROLINA	No
2	363LG0600X	Nurse Practitioner	Gerontology	222000	SOUTH CAROLINA	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	NP6173	MEDICAID	SOUTH CAROLINA
2	SCE737I818	OTHER	SOUTH CAROLINA	MEDICARE

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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