# MOYA C PETERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1316043664
- **Gender:** F
- **Credential:** A.R.N.P.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 44161 | KS | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 07/16/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100248630B | — | KS |
| 01 | — | 26926013 | BCBS KANSAS CITY | MO |
| 01 | — | 412690 | FIRSTGUARD | KS |
| 05 | — | 424843506 | — | MO |
| 01 | — | 500008548 | RAILROAD MEDICARE | — |