MS. ANN PETERSON NP NPI 1104181445

NPI Information

  • NPI: 1104181445
  • Provider Name: MS. ANN PETERSON, NP
  • Classification: Registered Nurse - 163WG0000X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 2 DALY RD
    MEDFORD, MA
    ZIP 02155
  • Phone: (781) 393-8833

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NPI Details

MS. Ann Peterson, NP is a general practice registered nurse in Medford, MA. MS. Ann Peterson, NP NPI is 1104181445. 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:

2 DALY RD
MEDFORD, MA
ZIP 02155-702
Phone: (781) 393-8833

The enumeration date for this NPI number is 7/12/2012 and was last updated on 7/12/2012.

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
1163WG0000XRegistered NurseGeneral Practice067490CONNECTICUTNo
2163WG0000XRegistered NurseGeneral Practice046055-21NEW HAMPSHIRENo
3163WG0000XRegistered NurseGeneral PracticeRN86754MASSACHUSETTSYes

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
1067490OTHERCONNECTICUTSTATE LICENCE
2046055-21OTHERNEW HAMPSHIRESTATE LICENSE
3RN86754OTHERMASSACHUSETTSSTATE LICENCE

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: 11/21/2025

NPI Synchronization or Removal

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