Individual
MRS. MARY A PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
282 BENEDICT AVE STE C, NORWALK, OH 44857-2712
(419) 668-0311
(419) 668-0312
Mailing address
282 BENEDICT AVE STE C, NORWALK, OH 44857-2712
(419) 668-0311
(419) 668-0312
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN.CNP.13596
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.13596
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070923
—
OH
Enumeration date
08/21/2012
Last updated
10/28/2019
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