Peterson, Edith C

Peterson, Edith C is an individual health care provider with primary practice located at 1424 Genesee St , Utica NY 13502-5101. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Peterson, Edith C can be contacted via phone (315) 724-6146.

Contact Information

Primary practice address
1424 Genesee St Utica NY 13502-5101
Phone: (315) 724-6146
Fax: (315) 797-9671
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 371556 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F-302355 New York

Profile Details

NPI number 1043305956
LBN Legal business name Peterson, Edith C
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Mar 7th, 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 1043305956 NPPES
New York Other 346874 MVP

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