Lynn A Peterson, MSN, CRNA
Nurse Anesthetist, Certified Registered in Newport, WA. Individual provider (NPI-1).
NPI number1720165160
StatusActive
Last updated in NPPESJun 25, 2019
Details
- NPI
- 1720165160
- Entity type
- Individual (NPI-1)
- Name
- Mr. Lynn A Peterson
- Credential
- MSN, CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2006
- Last updated
- Jun 25, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP30006221 | WA | Yes |
Practice location
714 W Pine StNewport, WA 99156-9046
Phone 509-447-2441 · Fax 509-447-2281
Mailing address
3412 S Jefferson DrSpokane, WA 99203-1421
Phone 509-220-3834
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Certified Registered Nurse Anesthetist providers in Newport, WA
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