Individual
MRS. ROBIN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3185 HARDIE ST, CREEDMOOR, NC 27522-7114
(919) 427-0926
Mailing address
3185 HARDIE ST, CREEDMOOR, NC 27522-7114
(919) 427-0926
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5010987
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
PETE-C19CFC
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336622448
—
NC
Enumeration date
09/13/2018
Last updated
06/27/2022
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