Individual
AMY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
210 SHARON RD STE B2, CIRCLEVILLE, OH 43113-1498
(740) 420-8354
(740) 420-8358
Mailing address
600 N PICKAWAY ST, CIRCLEVILLE, OH 43113-1447
(740) 420-8736
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.18235
OH
363LF0000X
Family Nurse Practitioner
Primary
RN.287629.1
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0152517
—
OH
Enumeration date
10/13/2015
Last updated
01/17/2020
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