Individual
MEGAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-3090
Mailing address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2323308
MA
363LF0000X
Family Nurse Practitioner
95001179
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2323308
CNP LICENSE
MA
Enumeration date
08/17/2014
Last updated
04/13/2019
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