Peterson, Marc Zephire

Peterson, Marc Zephire is an individual health care provider with primary practice located at 101 Civic Center Lane Havasu Regional Medical Center, Lake Havasu AZ 86403. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Peterson, Marc Zephire can be contacted via phone (928) 505-5760.

Contact Information

Primary practice address
101 Civic Center Lane Havasu Regional Medical Center Lake Havasu AZ 86403
Phone: (928) 505-5760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 14-126823-061 Kansas
Nursing Service Providers / Registered Nurse 163W00000X 5909731-3102 Utah
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRNA1248 Arizona
Nursing Service Providers / Registered Nurse 163W00000X RN202234 Arizona

Profile Details

NPI number 1609323260
LBN Legal business name Peterson, Marc Zephire
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2016
Last updated Nov 8th, 2016 - about 8 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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