Paula M Peterson is a Family in Fort Worth, Texas. Paula M Peterson practices all healthcare services and medical treatments related to Family. The NPI Number for Paula M Peterson is 1568473601. The last update date is 2011-09-16.
Paula M Peterson's current location address is 2919 Markum Dr, Fort Worth, Texas. You can contact this provider via phone number 8178310321 and fax number 8178313211. The mailing address for Paula M Peterson is 2919 Markum Dr, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paula M Peterson |
|---|---|
| Address | 2919 Markum Dr, Fort Worth, Texas |
| Phone Number | 8178310321 |
| Fax Number | 8178313211 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1568473601 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2011-09-16 |
Provider Mailing Address Detail
| Address | 2919 Markum Dr |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761174004 |
| Phone Number | 8178310321 |
| Fax Number | 8178313211 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 504482 |
|
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 |
|---|---|---|---|
| 45D0703080 | TX | GROUP CLIA | |
| TXB110627 | TX | GROUP MEDICARE PIN | |
| 92104102 | TX | GROUP MEDICAID/TPI | |
| 92104103 | TX | GROUP EPSDT | |
| F057 | TX | GROUP MEDICARE | |
| 1578514535 | TX | GROUP NPI NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Paula M Peterson by the Centers for Medicare & Medicaid Services (CMS)?
The Paula M Peterson has been assigned the NPI (National Provider Identifier) 1568473601. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Paula M Peterson?
The Paula M Peterson is physically situated at 2919 Markum Dr, in the city of Fort Worth, state of TX, with the postal code 761174004.
What is Paula M Peterson'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 Paula M Peterson is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date did the Paula M Peterson receive its 1568473601 assignment from the Centers for Medicare & Medicaid Services?
The Paula M Peterson was assigned its 1568473601 by the Centers for Medicare & Medicaid Services on 2006-08-11.
As of what date were the details related to Paula M Peterson most recently updated or revised?
The information pertaining to Paula M Peterson, including its address, specialty, and other relevant details, was last updated or revised on 2011-09-16.