Maeley Rose Peterson, NNP-BC
Nurse Practitioner, Neonatal, Critical Care in Sacramento, CA. Individual provider (NPI-1).
NPI number1972140804
StatusActive
Last updated in NPPESDec 10, 2019
Details
- NPI
- 1972140804
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Maeley Rose Peterson
- Credential
- NNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 10, 2019
- Certification date
- Dec 10, 2019
- Last updated
- Dec 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LN0005X | Nurse Practitioner, Neonatal, Critical Care | 95012668 | CA | Yes |
| 363LN0000X | Nurse Practitioner, Neonatal | 95012668 | CA |
Other names
- Maeley Rose Roberts (Former Name)
Practice location
2315 Stockton BlvdSacramento, CA 95817-2201
Phone 916-703-3050 · Fax 916-703-3055
Mailing address
7649 Chappelle WayElk Grove, CA 95757-1681
Phone 916-390-5085
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