Peterson, Machelle F.
Peterson, Machelle F. is an sole proprietor health care provider with primary practice located at 468 Lonesome Dove Ln , Tensed ID 83870-8387. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Peterson, Machelle F. can be contacted via phone (208) 874-3095.Contact Information
Primary practice address
468 Lonesome Dove Ln
Tensed ID 83870-8387
Phone: (208) 874-3095
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 61016081 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 62928 | Idaho |
Profile Details
| NPI number | 1689216095 |
|---|---|
| LBN Legal business name | Peterson, Machelle F. |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2019 |
| Last updated | Nov 6th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689216095 | NPPES |
| Idaho | Other | 62928 | CNM PROVIDER LICENSE |
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