EDITH C PETERSON ANP NPI 1043305956

NPI Information

  • NPI: 1043305956
  • Provider Name: EDITH C PETERSON, ANP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 1424 GENESEE ST
    UTICA, NY
    ZIP 13502
  • Phone: (315) 724-6146

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NPI Details

Edith C Peterson, ANP is an adult health nurse practitioner in Utica, NY. Edith C Peterson, ANP NPI is 1043305956. 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:

1424 GENESEE ST
UTICA, NY
ZIP 13502-101
Phone: (315) 724-6146
Fax: (315) 797-9671

The enumeration date for this NPI number is 10/4/2006 and was last updated on 3/7/2023.

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
1163W00000XRegistered Nurse371556NEW YORKNo
2363LA2200XNurse PractitionerAdult HealthF-302355NEW YORKYes

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
1346874OTHERNEW YORKMVP

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: 3/30/2025

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