MRS. ANGELA SUE PETERS NURSE PRACTITIONER A NPI 1407132897

NPI Information

NPI: 1407132897
Provider Name: MRS. ANGELA SUE PETERS, NURSE PRACTITIONER A
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
642 INDIAN RIDGE DR
ANTIOCH, IL
ZIP 60002
Phone: (847) 961-2875
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MRS. Angela Sue Peters, NURSE PRACTITIONER A is a psychiatric/mental health nurse practitioner in Antioch, IL. MRS. Angela Sue Peters, NURSE PRACTITIONER A NPI is 1407132897. 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:

642 INDIAN RIDGE DR
ANTIOCH, IL
ZIP 60002
Phone: (847) 961-2875

The NPI 1407132897 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/29/2011 and was last updated on 8/11/2022.

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	363LA2200X	Nurse Practitioner	Adult Health	209-009096	ILLINOIS	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	277.000596	ILLINOIS	Yes
3	363LA2200X	Nurse Practitioner	Adult Health	4674-33	WISCONSIN	No

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: 5/5/2024

NPI Synchronization or Removal

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