Peterson, Andrea Marie

Peterson, Andrea Marie is an sole proprietor health care provider with primary practice located at 4120 Prescott Rd # B , Modesto CA 95356-8418. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Allopathic & Osteopathic Physicians / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Peterson, Andrea Marie can be contacted via phone (209) 544-7300.

Contact Information

Primary practice address
4120 Prescott Rd # B Modesto CA 95356-8418
Phone: (209) 544-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 95020812 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 789792 California

Profile Details

NPI number 1922569698
LBN Legal business name Peterson, Andrea Marie
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2019
Last updated Feb 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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