Greta P Peterson-Clemen in Indianapolis - Family

Greta P Peterson-Clemen - NPI 1518907344

Greta P Peterson-Clemen is a Family in Indianapolis, Indiana. Greta P Peterson-Clemen practices all healthcare services and medical treatments related to Family. The NPI Number for Greta P Peterson-Clemen is 1518907344. The last update date is 2021-11-11.

Greta P Peterson-Clemen's current location address is 1633 N Capitol Ave, Indianapolis, Indiana. You can contact this provider via phone number 3179622929 and fax number 3179622070. The mailing address for Greta P Peterson-Clemen is 1633 N Capitol Ave, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Greta P Peterson-Clemen
Address 1633 N Capitol Ave, Indianapolis, Indiana
Phone Number 3179622929
Fax Number 3179622070
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1518907344
Provider Enumeration Date 2006-06-08
Last Updated Date 2021-11-11

Provider Mailing Address Detail

Address 1633 N Capitol Ave
City Indianapolis
State Indiana (IN)
Post Code 462021476
Phone Number 3179622929
Fax Number 3179622070

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 71001060A
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200275780 IN --

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FAQs about Greta P Peterson-Clemen

What is the unique 10-digit identifier code issued to Greta P Peterson-Clemen by the Centers for Medicare & Medicaid Services?

The Greta P Peterson-Clemen has been assigned the NPI (National Provider Identifier) 1518907344 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Greta P Peterson-Clemen is physically located?

The Greta P Peterson-Clemen is situated at the following address: 1633 N Capitol Ave, Indianapolis, IN 462021476.

What is Greta P Peterson-Clemen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Greta P Peterson-Clemen is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.

On what date did the Greta P Peterson-Clemen receive the assignment of its 1518907344 from the Centers for Medicare & Medicaid Services?

The Greta P Peterson-Clemen was issued its 1518907344 by the Centers for Medicare & Medicaid Services on 2006-06-08.

As of what date were the details pertaining to Greta P Peterson-Clemen last refreshed?

The information related to the Greta P Peterson-Clemen, including its address, specialty, and other relevant details, was last updated on 2021-11-11.

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