Erika Anne Petersen in Little Rock - Student In An Organized Health Care Education/training Program

Erika Anne Petersen - NPI 1780886192

Erika Anne Petersen is a Student In An Organized Health Care Education/training Program in Little Rock, Arkansas. Erika Anne Petersen practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Erika Anne Petersen is 1780886192. The last update date is 2011-06-21.

Erika Anne Petersen's current location address is 4301 W Markham St, Little Rock, Arkansas. You can contact this provider via phone number 5016865270. The mailing address for Erika Anne Petersen is 4301 W Markham St, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Erika Anne Petersen
Address 4301 W Markham St, Little Rock, Arkansas
Phone Number 5016865270
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1780886192
Provider Enumeration Date 2007-06-05
Last Updated Date 2011-06-21

Provider Mailing Address Detail

Address 4301 W Markham St
City Little Rock
State Arkansas (AR)
Post Code 722057101
Phone Number 5016865270
Fax Number

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
BP1-0018276 INSTITUTIONAL PERMIT

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FAQs about Erika Anne Petersen

What is the Erika Anne Petersen's 1780886192?

The Erika Anne Petersen's NPI (National Provider Identifier) Number is 1780886192. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Erika Anne Petersen is physically located?

The Erika Anne Petersen is situated at the following address: 4301 W Markham St, Little Rock, AR 722057101.

What is Erika Anne Petersen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Erika Anne Petersen is Student In An Organized Health Care Education/training Program, and the taxonomy code that classifies this field of practice is 390200000X.

On what date did Erika Anne Petersen receive its 1780886192 assignment from the Centers for Medicare & Medicaid Services?

The Erika Anne Petersen was assigned its 1780886192 on 2007-06-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Erika Anne Petersen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Erika Anne Petersen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-06-21.

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