Individual
ELLEN W PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAMILY NP
Contact information
Practice address
170 APRICOT ST, WORCESTER, MA 01603-1225
(508) 799-3346
(508) 755-8054
Mailing address
26 QUEEN ST, CREDENTIALING, WORCESTER, MA 01610-2473
(508) 860-7962
(508) 860-7929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
147918
MA
Other
Enumeration date
10/26/2007
Last updated
01/15/2016
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