Individual
MS. ANN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2 DALY RD, MEDFORD, MA 02155-3702
(781) 393-8833
Mailing address
2 DALY RD, MEDFORD, MA 02155-3702
(781) 393-8833
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
046055-21
NH
163WG0000X
General Practice Registered Nurse
067490
CT
163WG0000X
General Practice Registered Nurse
Primary
RN86754
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046055-21
STATE LICENSE
NH
01
—
067490
STATE LICENCE
CT
01
—
RN86754
STATE LICENCE
MA
Enumeration date
07/12/2012
Last updated
07/12/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us