Tina A Petersen in Albuquerque - Pediatrics

Tina A Petersen - NPI 1184841231

Tina A Petersen is a Pediatrics in Albuquerque, New Mexico. Tina A Petersen practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Tina A Petersen is 1184841231. The last update date is 2010-09-03.

Tina A Petersen's current location address is 1 University Of New Mexico, Albuquerque, New Mexico. You can contact this provider via phone number 5052723909. The mailing address for Tina A Petersen is 1 University Of New Mexico, Albuquerque, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Tina A Petersen
Address 1 University Of New Mexico, Albuquerque, New Mexico
Phone Number 5052723909
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1184841231
Provider Enumeration Date 2007-04-19
Last Updated Date 2010-09-03

Provider Mailing Address Detail

Address 1 University Of New Mexico
City Albuquerque
State New Mexico (NM)
Post Code 871310001
Phone Number 5052723909
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No RS20070349
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
RS20070349 NM TRAINING
MD2010-0502 NM NEW MEXICO MEDICAL BOARD

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FAQs about Tina A Petersen

What is the unique provider identifier assigned to Tina A Petersen?

The Tina A Petersen has been issued the NPI (National Provider Identifier) 1184841231 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Tina A Petersen is geographically located?

The Tina A Petersen is physically situated at the following location: 1 University Of New Mexico, Albuquerque, NM, 871310001.

What is Tina A Petersen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Tina A Petersen is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.

On what date was the 1184841231 assigned to Tina A Petersen?

The Tina A Petersen was issued its 1184841231 on 2007-04-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Tina A Petersen most recently updated or revised?

The details related to Tina A Petersen, including its address, specialty, and other relevant information, were last updated or revised on 2010-09-03.

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