Ellen Petersen is a Nurse Practitioner in Vista, California. Ellen Petersen practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Ellen Petersen is 1689771354. The last update date is 2010-12-23.
Ellen Petersen's current location address is 1000 Vale Terrace Dr, Vista, California. You can contact this provider via phone number 7606315000 and fax number 7604143713. The mailing address for Ellen Petersen is 1000 Vale Terrace Dr, Vista, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen Petersen |
|---|---|
| Address | 1000 Vale Terrace Dr, Vista, California |
| Phone Number | 7606315000 |
| Fax Number | 7604143713 |
| Sole Proprietor | Y |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1689771354 |
|---|---|
| Provider Enumeration Date | 2006-09-17 |
| Last Updated Date | 2010-12-23 |
Provider Mailing Address Detail
| Address | 1000 Vale Terrace Dr |
|---|---|
| City | Vista |
| State | California (CA) |
| Post Code | 920845218 |
| Phone Number | 7606315000 |
| Fax Number | 7604143713 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | NP8141 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ellen Petersen by the Centers for Medicare & Medicaid Services?
The Ellen Petersen has been issued the NPI (National Provider Identifier) 1689771354 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Ellen Petersen?
The Ellen Petersen is physically situated at 1000 Vale Terrace Dr, in the city of Vista, state of CA, with the postal code 920845218.
What is the area of specialization for Ellen Petersen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ellen Petersen is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.
When did Ellen Petersen receive its 1689771354 assignment?
The Ellen Petersen was assigned its 1689771354 on 2006-09-17, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Ellen Petersen most recently updated or revised?
The details related to Ellen Petersen, including its address, specialty, and other relevant information, were last updated or revised on 2010-12-23.