Peterson, Cameron Scott

Peterson, Cameron Scott is an individual health care provider with primary practice located at 2430 W Pierce St , Carlsbad NM 88220-3553. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Peterson, Cameron Scott can be contacted via phone (575) 887-4100.

Contact Information

Primary practice address
2430 W Pierce St Carlsbad NM 88220-3553
Phone: (575) 887-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRNA-01538 New Mexico

Profile Details

NPI number 1053827832
LBN Legal business name Peterson, Cameron Scott
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2017
Last updated Jun 26th, 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 1053827832 NPPES
New Mexico MEDICAID 04536819

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