MR. ROBERT CHARLES PETERSON GNP NPI 1588670830

NPI Information

  • NPI: 1588670830
  • Provider Name: MR. ROBERT CHARLES PETERSON, GNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 325 E H ST
    IRON MOUNTAIN, MI
    ZIP 49801
  • Phone: (906) 774-3300

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NPI Details

MR. Robert Charles Peterson, GNP is a gerontology nurse practitioner in Iron Mountain, MI. MR. Robert Charles Peterson, GNP NPI is 1588670830. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

325 E H ST
IRON MOUNTAIN, MI
ZIP 49801-760
Phone: (906) 774-3300
Fax: (906) 779-3146

The NPI 1588670830 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 7/31/2006 and was last updated on 7/8/2007.

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
1363LG0600XNurse PractitionerGerontology4704219482MICHIGANYes

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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