Individual
JANE M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
7997 EUCLID AVENUE, CLEVELAND, OH 44103-4226
(216) 851-1880
(216) 707-9370
Mailing address
7997 EUCLID AVENUE, CLEVELAND, OH 44103-4226
(216) 851-1880
(216) 707-9370
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN196717
OH
363LW0102X
Women's Health Nurse Practitioner
Primary
COA.02264.NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3069683
—
OH
Enumeration date
06/09/2010
Last updated
09/18/2014
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