Peterson, Corie

Peterson, Corie is an sole proprietor health care provider with primary practice located at 16815 E Jefferson Ave Ste 120 , Grosse Pointe MI 48230-1923. 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, Corie can be contacted via phone (586) 498-4400.

Contact Information

Primary practice address
16815 E Jefferson Ave Ste 120 Grosse Pointe MI 48230-1923
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.020746 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704399838 Michigan

Profile Details

NPI number 1104352582
LBN Legal business name Peterson, Corie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2017
Last updated Oct 30th, 2023 - about last year

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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