Mary E Peterson in Austin - Nurse Practitioner
Mary E Peterson - NPI 1174791115
Mary E Peterson is a Nurse Practitioner in Austin, Texas. Mary E Peterson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mary E Peterson is 1174791115. The last update date is 2016-12-13.
Mary E Peterson's current location address is 901 W Ben White Blvd, Austin, Texas. You can contact this provider via phone number 5128168611 and fax number 5128166171. The mailing address for Mary E Peterson is 901 W Ben White Blvd, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary E Peterson |
|---|---|
| Address | 901 W Ben White Blvd, Austin, Texas |
| Phone Number | 5128168611 |
| Fax Number | 5128166171 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1174791115 |
|---|---|
| Provider Enumeration Date | 2008-02-12 |
| Last Updated Date | 2016-12-13 |
Provider Mailing Address Detail
| Address | 901 W Ben White Blvd |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787046903 |
| Phone Number | 5128168611 |
| Fax Number | 5128166171 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | AP2970 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 308127 | AZ | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mary E Peterson by the Centers for Medicare & Medicaid Services?
The Mary E Peterson has been issued the NPI (National Provider Identifier) 1174791115. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mary E Peterson?
The Mary E Peterson is physically situated at 901 W Ben White Blvd, in the city of Austin, state of TX, with the postal code 787046903.
What is Mary E Peterson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary E Peterson is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
On what date did Mary E Peterson receive its 1174791115 assignment from the Centers for Medicare & Medicaid Services?
The Mary E Peterson was assigned its 1174791115 on 2008-02-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mary E Peterson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary E Peterson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-12-13.