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MRS. AMIE NICHOLE PETERSON ARNP NPI 1760791107


NPI Information

NPI: 1760791107
Provider Name: MRS. AMIE NICHOLE PETERSON, ARNP
Classification: Nurse Practitioner - 363LC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Organization: MILLENNIUM PHYSICIAN GROUP LLC

PECOS Registration: Yes

Address:
12600 CREEKSIDE LN
SUITE 6
FORT MYERS, FL
ZIP 33919
Phone: (239) 343-9219
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MRS. Amie Nichole Peterson, ARNP is a critical care medicine nurse practitioner in Fort Myers, FL with 14 years of experience. MRS. Amie Nichole Peterson, ARNP NPI is 1760791107. 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:

12600 CREEKSIDE LN
SUITE 6
FORT MYERS, FL
ZIP 33919-353
Phone: (239) 343-9219
Fax: (239) 343-9218

The NPI 1760791107 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/4/2010 and was last updated on 5/8/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LC0200XNurse PractitionerCritical Care Medicine2629902FLORIDAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.