Debra Antoinette Petersen in Hammond - Family
Debra Antoinette Petersen - NPI 1417039652
Debra Antoinette Petersen is a Family in Hammond, Indiana. Debra Antoinette Petersen practices all healthcare services and medical treatments related to Family. The NPI Number for Debra Antoinette Petersen is 1417039652. The last update date is 2007-07-08.
Debra Antoinette Petersen's current location address is 7131 Indianapolis Blvd, Hammond, Indiana. You can contact this provider via phone number 2198450848. The mailing address for Debra Antoinette Petersen is 7131 Indianapolis Blvd, Hammond, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra Antoinette Petersen |
|---|---|
| Address | 7131 Indianapolis Blvd, Hammond, Indiana |
| Phone Number | 2198450848 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NURSE PRAC |
NPI Number Detail
| NPI Number | 1417039652 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7131 Indianapolis Blvd |
|---|---|
| City | Hammond |
| State | Indiana (IN) |
| Post Code | 46324 |
| Phone Number | 2198450848 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 28063616A |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Debra Antoinette Petersen?
The Debra Antoinette Petersen has been issued the NPI (National Provider Identifier) 1417039652 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Debra Antoinette Petersen?
The Debra Antoinette Petersen is physically situated at 7131 Indianapolis Blvd, in the city of Hammond, state of IN, with the postal code 46324.
What is Debra Antoinette Petersen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Debra Antoinette Petersen is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
When did Debra Antoinette Petersen receive its 1417039652 assignment?
The Debra Antoinette Petersen was assigned its 1417039652 on 2006-10-19, which is the date when this unique identifier was issued to the organization.
When was the Debra Antoinette Petersen's information last updated?
The Debra Antoinette Petersen's information was last updated on 2007-07-08.