Mrs Priscilla Louise Peterson, REGISTERED NURSE is a
Registered Nurse based in Durhamville, New York. Mrs Priscilla Louise Peterson is licensed to practice in New York (license number 533383-1) and her current practice location is
6813 State Route 31, Durhamville, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 363-4170.
NPI number for Mrs Priscilla Louise Peterson is 1659773885 and her current mailing address is 6813 State Route 31, Durhamville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659773885.
Provider's Profile
| Full Name | Mrs Priscilla Louise Peterson |
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| Gender | Female |
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| Speciality | Registered Nurse |
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| Location | 6813 State Route 31, Durhamville, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659773885
- Provider Enumeration Date: 09/18/2014
- Last Update Date: 09/18/2014
Medical Identifiers
Medical identifiers for Mrs Priscilla Louise Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659773885 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 533383-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Priscilla Louise Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Priscilla Louise Peterson, REGISTERED NURSE
6813 State Route 31,
Durhamville, NY 13054-3192
Ph: (315) 363-4170 | Mrs Priscilla Louise Peterson, REGISTERED NURSE
6813 State Route 31,
Durhamville, NY 13054-3192
Ph: (315) 363-4170 |
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