Brandy Ault Petersen in North Quincy - Adult Health
Brandy Ault Petersen - NPI 1194904532
Brandy Ault Petersen is a Adult Health in North Quincy, Massachusetts. Brandy Ault Petersen practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Brandy Ault Petersen is 1194904532. The last update date is 2013-08-01.
Brandy Ault Petersen's current location address is 110 W Squantum St, North Quincy, Massachusetts. You can contact this provider via phone number 6173763000 and fax number 6177741906. The mailing address for Brandy Ault Petersen is 110 W Squantum St, North Quincy, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brandy Ault Petersen |
|---|---|
| Address | 110 W Squantum St, North Quincy, Massachusetts |
| Phone Number | 6173763000 |
| Fax Number | 6177741906 |
| Sole Proprietor | N |
| Credentials | RN, MSN, A |
NPI Number Detail
| NPI Number | 1194904532 |
|---|---|
| Provider Enumeration Date | 2007-11-02 |
| Last Updated Date | 2013-08-01 |
Provider Mailing Address Detail
| Address | 110 W Squantum St |
|---|---|
| City | North Quincy |
| State | Massachusetts (MA) |
| Post Code | 21712122 |
| Phone Number | 6173763000 |
| Fax Number | 6177741906 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | 262850 |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Brandy Ault Petersen by the Centers for Medicare & Medicaid Services (CMS)?
The Brandy Ault Petersen has been assigned the NPI (National Provider Identifier) 1194904532. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Brandy Ault Petersen located?
The Brandy Ault Petersen is located at 110 W Squantum St, North Quincy, MA 21712122.
What is Brandy Ault Petersen's area of expertise and its corresponding taxonomy classification?
The Brandy Ault Petersen's field of specialization is Adult Health, and it falls under the taxonomy code 363La2200X, which categorizes healthcare providers based on their areas of practice.
On what date did Brandy Ault Petersen receive its 1194904532 assignment from the Centers for Medicare & Medicaid Services?
The Brandy Ault Petersen was assigned its 1194904532 on 2007-11-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Brandy Ault Petersen last refreshed?
The information related to the Brandy Ault Petersen, including its address, specialty, and other relevant details, was last updated on 2013-08-01.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI
NPI Number: 1154324168
Address: 175 S Union Blvd, Colorado Springs, CO