Kelly Peterson, ARNP
Nurse Practitioner, Adult Health in Tacoma, WA. Individual provider (NPI-1).
NPI number1164087730
StatusActive
Last updated in NPPESFeb 23, 2021
Details
- NPI
- 1164087730
- Entity type
- Individual (NPI-1)
- Name
- Kelly Peterson
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 8, 2019
- Certification date
- Feb 23, 2021
- Last updated
- Feb 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | AP61095811 | WA | Yes |
| 163W00000X | Registered Nurse | RN.382825 | OH | |
| 363LC0200X | Nurse Practitioner, Critical Care Medicine | APRN.CNP.025246 | OH |
Practice location
1901 S Cedar St Ste 101Tacoma, WA 98405-2302
Phone 253-301-5370
Mailing address
1901 S Cedar St Ste 101Tacoma, WA 98405-2302
Other practice locations
410 W 10th Ave
Columbus, OH 43210-1240
Columbus, OH 43210-1240
Phone 614-293-8000
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All 55 Adult Health Nurse Practitioner providers in Tacoma · All 15,721 providers in Tacoma
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