Individual
CRYSTAL M PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
APRN11002022
FL
367A00000X
Advanced Practice Midwife
Primary
APRN11002022
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103732800
—
FL
Enumeration date
12/03/2012
Last updated
02/01/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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