Petersen, Trudi J
Petersen, Trudi J is an individual health care provider with primary practice located at 1700 Shattuck Ave # 75 , Berkeley CA 94709-3402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Petersen, Trudi J can be contacted via phone (510) 435-6185.Contact Information
Primary practice address
1700 Shattuck Ave # 75
Berkeley CA 94709-3402
Phone: (510) 435-6185
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 432166 | California |
Profile Details
NPI number | 1548655921 |
---|---|
LBN Legal business name | Petersen, Trudi J |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 1st, 2015 |
Last updated | Apr 1st, 2015 - about 9 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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