KOURTNEY PETERSON NPI 1093165227

NPI Information

Kourtney Peterson is a family nurse practitioner in Oklahoma City, OK with 8 years of experience. Kourtney Peterson NPI is 1093165227. 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:

3330 NW 56TH ST
SUITE 208
OKLAHOMA CITY, OK
ZIP 73112-479
Phone: (405) 604-0688

The NPI 1093165227 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 6/19/2016 and was last updated on 4/20/2017.

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:

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