Peterson, Denise K
Peterson, Denise K is an individual health care provider with primary practice located at 902 W Randol Mill Rd Ste 200, Arlington TX 76012-2572. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Peterson, Denise K can be contacted via phone (817) 461-3003.Contact Information
Primary practice address
902 W Randol Mill Rd Ste 200
Arlington TX 76012-2572
Phone: (817) 461-3003
Fax: (817) 275-2525
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 52094 | Texas |
Profile Details
NPI number | 1730264987 |
---|---|
LBN Legal business name | Peterson, Denise K |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 26th, 2006 |
Last updated | Dec 8th, 2016 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730264987 | NPPES |
Texas | MEDICAID | 187125301 |
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