Julia Peterson in Evanston - Emergency

Julia Peterson - NPI 1699952143

Julia Peterson is a Emergency in Evanston, Illinois. Julia Peterson practices all healthcare services and medical treatments related to Emergency. The NPI Number for Julia Peterson is 1699952143. The last update date is 2013-02-27.

Julia Peterson's current location address is 2650 Ridge Ave, Evanston, Illinois. You can contact this provider via phone number 8475702114 and fax number 8475701223. The mailing address for Julia Peterson is 2650 Ridge Ave, Evanston, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Julia Peterson
Address 2650 Ridge Ave, Evanston, Illinois
Phone Number 8475702114
Fax Number 8475701223
Sole Proprietor N
Credentials APN-CNP

NPI Number Detail

NPI Number 1699952143
Provider Enumeration Date 2008-01-28
Last Updated Date 2013-02-27

Provider Mailing Address Detail

Address 2650 Ridge Ave
City Evanston
State Illinois (IL)
Post Code 602011718
Phone Number 8475702114
Fax Number 8475701223

Provider's Primary Taxonomy Detail

Speciality Emergency
Taxonomy 364Se0003X
Licence No 209006772
Definition:
An advanced practice registered nurse with expertise in emergency and trauma nursing care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
209006772 IL STATE LICENSE

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FAQs about Julia Peterson

What is the Julia Peterson's unique identification number?

The Julia Peterson has been assigned the NPI (National Provider Identifier) Number 1699952143 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Julia Peterson is physically located?

The Julia Peterson is physically situated at the following address: 2650 Ridge Ave, Evanston, IL, 602011718.

What is the Julia Peterson's specialty and taxonomy code?

The Julia Peterson's specialty is Emergency, and the corresponding taxonomy code is 364Se0003X.

When did Julia Peterson receive its 1699952143 assignment?

The Julia Peterson was assigned its 1699952143 on 2008-01-28, which is the date when this unique identifier was issued to the organization.

As of what date were the Julia Peterson's details last updated?

The information pertaining to the Julia Peterson, including its address, specialty, and other details, was most recently updated on 2013-02-27.

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