DR. VIRGINIA MARIE PETERSON ANP NPI 1619284551

NPI Information

NPI: 1619284551
Provider Name: DR. VIRGINIA MARIE PETERSON, ANP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
26 LEROY ST
DIX HILLS, NY
ZIP 11746
Phone: (631) 940-7642
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DR. Virginia Marie Peterson, ANP is an adult health nurse practitioner in Dix Hills, NY. DR. Virginia Marie Peterson, ANP NPI is 1619284551. 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:

26 LEROY ST
DIX HILLS, NY
ZIP 11746-644
Phone: (631) 940-7642

The enumeration date for this NPI number is 9/13/2010 and was last updated on 9/13/2010.

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	F302610-1	NEW YORK	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	2E2181	OTHER	NEW YORK	MEDICARE PROVIDER #
2	P30235	MEDICARE UPIN	NEW YORK

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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