Peterson, Bridget B.

Peterson, Bridget B. is an individual health care provider with primary practice located at 200 New York Ave Ste 200 , Oak Ridge TN 37830-5225. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Peterson, Bridget B. can be contacted via phone (865) 835-5400.

Contact Information

Primary practice address
200 New York Ave Ste 200 Oak Ridge TN 37830-5225
Phone: (865) 835-5400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN 5961 Tennessee

Profile Details

NPI number 1215908462
LBN Legal business name Peterson, Bridget B.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated May 20th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215908462 NPPES
Tennessee MEDICAID 3814930

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