MS. ANN PETERSON NP NPI 1104181445

NPI Information

NPI: 1104181445
Provider Name: MS. ANN PETERSON, NP
Classification: Registered Nurse - 163WG0000X
Entity Type: Individual

Specialization: General Practice

Address:
2 DALY RD
MEDFORD, MA
ZIP 02155
Phone: (781) 393-8833
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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
1	163WG0000X	Registered Nurse	General Practice	067490	CONNECTICUT	No
2	163WG0000X	Registered Nurse	General Practice	046055-21	NEW HAMPSHIRE	No
3	163WG0000X	Registered Nurse	General Practice	RN86754	MASSACHUSETTS	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	067490	OTHER	CONNECTICUT	STATE LICENCE
2	046055-21	OTHER	NEW HAMPSHIRE	STATE LICENSE
3	RN86754	OTHER	MASSACHUSETTS	STATE 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: 4/28/2024

NPI Synchronization or Removal

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