Individual
MADISON PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 LEA AVE, NASHVILLE, TN 37210-3526
(201) 526-8484
Mailing address
10 LEA AVE STE 760, NASHVILLE, TN 37210-3541
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-141366-052
KS
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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