Peterson, Er'Real Rose Marie

Peterson, Er'Real Rose Marie is an individual health care provider with primary practice located at 12470 Telecom Dr Ste 100 , Temple Terrace FL 33637-0904. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Peterson, Er'Real Rose Marie can be contacted via phone (813) 779-6303.

Contact Information

Primary practice address
12470 Telecom Dr Ste 100 Temple Terrace FL 33637-0904
Phone: (813) 779-6303
Fax: (888) 977-1998
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X APRN11003381 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11003381 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN11003381 Florida

Profile Details

NPI number 1396388500
LBN Legal business name Peterson, Er'Real Rose Marie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2019
Last updated Nov 3rd, 2020 - about 5 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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