KATHLEEN A PETERSEN NPI 1336713122

NPI Information

  • NPI: 1336713122
  • Provider Name: KATHLEEN A PETERSEN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 39 NORTH ST
    HILLSDALE, MI
    ZIP 49242
  • Phone: (517) 437-5385

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NPI Details

Kathleen A Petersen is a family nurse practitioner in Hillsdale, MI. Kathleen A Petersen NPI is 1336713122. 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:

39 NORTH ST
HILLSDALE, MI
ZIP 49242-628
Phone: (517) 437-5385

The enumeration date for this NPI number is 5/17/2021 and was last updated on 5/17/2021.

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
1363LF0000XNurse PractitionerFamily4704209441MICHIGANYes

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

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