MRS. WENDY R PETERSON CFNP NPI 1841443272

NPI Information

NPI: 1841443272
Provider Name: MRS. WENDY R PETERSON, CFNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
7015 HIGHWAY 190 EAST SERVICE RD STE 102
COVINGTON, LA
ZIP 70433
Phone: (985) 893-9592
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MRS. Wendy R Peterson, CFNP is a family nurse practitioner in Covington, LA with 16 years of experience. MRS. Wendy R Peterson, CFNP NPI is 1841443272. 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:

7015 HIGHWAY 190 EAST SERVICE RD STE 102
COVINGTON, LA
ZIP 70433-960
Phone: (985) 893-9592
Fax: (985) 318-1004

The NPI 1841443272 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 10/29/2008 and was last updated on 1/24/2020.

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	363LF0000X	Nurse Practitioner	Family	AP07310	LOUISIANA	Yes
2	363LF0000X	Nurse Practitioner	Family	R860436	MISSISSIPPI	No

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	02078279	MEDICAID	MISSISSIPPI
2	2345940	MEDICAID	LOUISIANA

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: 4/28/2024

NPI Synchronization or Removal

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