Peterson, Mary

Peterson, Mary is an individual health care provider with primary practice located at 460 Amherst St , Nashua NH 03063-1220. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Peterson, Mary can be contacted via phone (603) 883-7970.

Contact Information

Primary practice address
460 Amherst St Nashua NH 03063-1220
Phone: (603) 883-7970
Fax: (603) 595-3652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0390 New Hampshire

Profile Details

NPI number 1992781231
LBN Legal business name Peterson, Mary
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Oct 22nd, 2019 - about 7 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 1992781231 NPPES
New Hampshire MEDICAID 3073371

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