Peterson, Crystal M

Peterson, Crystal M is an sole proprietor health care provider with primary practice located at 400 Celebration Pl , Celebration FL 34747-4970. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Peterson, Crystal M can be contacted via phone (407) 975-0406.

Contact Information

Primary practice address
400 Celebration Pl Celebration FL 34747-4970
Phone: (407) 975-0406
Fax: (407) 975-0407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X APRN11002022 Florida
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN11002022 Florida

Profile Details

NPI number 1932444965
LBN Legal business name Peterson, Crystal M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2012
Last updated Feb 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932444965 NPPES
Florida MEDICAID 103732800

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