Peterson, Ellen Tanner

Peterson, Ellen Tanner is an individual health care provider with primary practice located at 280 W Macarthur Blvd , Oakland CA 94611-5642. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Peterson, Ellen Tanner can be contacted via phone (510) 752-6779.

Contact Information

Primary practice address
280 W Macarthur Blvd Oakland CA 94611-5642
Phone: (510) 752-6779
Fax: (510) 752-7836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 333228 California

Profile Details

NPI number 1295883742
LBN Legal business name Peterson, Ellen Tanner
Credentials RN, CPNP, MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jan 3rd, 2022 - about 2 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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