Individual
CHAD PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
3300 WEBSTER ST STE 500, OAKLAND, CA 94609-3149
(510) 465-6600
(510) 839-0806
Mailing address
3300 WEBSTER ST STE 500, OAKLAND, CA 94609-3149
(510) 465-6600
(510) 839-0806
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
775942
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
775942
RNMFA
CA
Enumeration date
03/30/2021
Last updated
03/30/2021
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