Ron Peterson is a Family in La Junta, Colorado. Ron Peterson practices all healthcare services and medical treatments related to Family. The NPI Number for Ron Peterson is 1245220086. The last update date is 2007-07-08.
Ron Peterson's current location address is 1100 Carson Ave, La Junta, Colorado. You can contact this provider via phone number 7193835900 and fax number 7193836533. The mailing address for Ron Peterson is 1100 Carson Ave, La Junta, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ron Peterson |
|---|---|
| Address | 1100 Carson Ave, La Junta, Colorado |
| Phone Number | 7193835900 |
| Fax Number | 7193836533 |
| Sole Proprietor | X |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1245220086 |
|---|---|
| Provider Enumeration Date | 2005-10-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1100 Carson Ave |
|---|---|
| City | La Junta |
| State | Colorado (CO) |
| Post Code | 810502751 |
| Phone Number | 7193835900 |
| Fax Number | 7193836533 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 55424 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 840706945002 | CO | ROCKY MOUNTAIN HEALTH PLA |
Post Comment/ Review Below
What is the unique identification code assigned to Ron Peterson by the Centers for Medicare & Medicaid Services?
The Ron Peterson has been issued the NPI (National Provider Identifier) 1245220086. 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 Ron Peterson?
The Ron Peterson is physically situated at 1100 Carson Ave, in the city of La Junta, state of CO, with the postal code 810502751.
What is Ron Peterson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ron Peterson's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
When did Ron Peterson receive its 1245220086 assignment?
The Ron Peterson was assigned its 1245220086 on 2005-10-24, which is the date when this unique identifier was issued to the organization.
When was the Ron Peterson's information last updated?
The Ron Peterson's information was last updated on 2007-07-08.