Individual
REBECCA E PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8300 CONSTANTIN BLVD, BATON ROUGE, LA 70809-3489
(225) 765-8853
(225) 765-1700
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0011
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
213659
LA
363LP0200X
Pediatric Nurse Practitioner
762682
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199630801
—
TX
01
—
8Y9463
BCBSTX
TX
Enumeration date
12/02/2008
Last updated
06/10/2021
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