Peterson, Ann
Peterson, Ann is an sole proprietor health care provider with primary practice located at 2 Daly Rd , Medford MA 02155-3702. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Peterson, Ann can be contacted via phone (781) 393-8833.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | RN86754 | Massachusetts |
| Nursing Service Providers / General Practice | 163WG0000X | 067490 | Connecticut |
| Nursing Service Providers / General Practice | 163WG0000X | 046055-21 | New Hampshire |
Profile Details
| NPI number | 1104181445 |
|---|---|
| LBN Legal business name | Peterson, Ann |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2012 |
| Last updated | Jul 12th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104181445 | NPPES |
| Connecticut | Other | 067490 | STATE LICENCE |
| Connecticut | Other | RN86754 | STATE LICENCE |
| Connecticut | Other | 046055-21 | STATE LICENCE |
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