Individual
STEPHANIE PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-2000
Mailing address
68 CHASE RD, COLUMBUS, OH 43214-1104
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.10821
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.10821
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3023114
—
OH
Enumeration date
09/28/2009
Last updated
02/20/2026
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