Pauline Peterkin in Fort Lauderdale - Psychiatric/mental Health
Pauline Peterkin - NPI 1174743728
Pauline Peterkin is a Psychiatric/mental Health in Fort Lauderdale, Florida. Pauline Peterkin practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Pauline Peterkin is 1174743728. The last update date is 2021-10-25.
Pauline Peterkin's current location address is 330 Sw 27th Ave, Fort Lauderdale, Florida. You can contact this provider via phone number 9547914300. The mailing address for Pauline Peterkin is 330 Sw 27th Ave, Fort Lauderdale, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pauline Peterkin |
|---|---|
| Address | 330 Sw 27th Ave, Fort Lauderdale, Florida |
| Phone Number | 9547914300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1174743728 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2021-10-25 |
Provider Mailing Address Detail
| Address | 330 Sw 27th Ave |
|---|---|
| City | Fort Lauderdale |
| State | Florida (FL) |
| Post Code | 333122051 |
| Phone Number | 9547914300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | 1473942 |
|
Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 766721300 | FL | -- | |
| 1473942 | FL | ARNP |
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What is the unique identification code assigned to Pauline Peterkin by the Centers for Medicare & Medicaid Services?
The Pauline Peterkin has been issued the NPI (National Provider Identifier) 1174743728. 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 Pauline Peterkin?
The Pauline Peterkin is physically situated at 330 Sw 27Th Ave, in the city of Fort Lauderdale, state of FL, with the postal code 333122051.
What is the Pauline Peterkin's specialty and taxonomy code?
The Pauline Peterkin's specialty is Psychiatric/mental Health, and the corresponding taxonomy code is 363Lp0808X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174743728 to Pauline Peterkin?
The Centers for Medicare & Medicaid Services originally issued the 1174743728 to Pauline Peterkin on 2007-04-26.
When was the Pauline Peterkin's information last updated?
The Pauline Peterkin's information was last updated on 2021-10-25.
NPI Number: 1255391348
Address: 2331 N State Road 7, Lauderdale Lakes, FL