Doctor Name: | EILEEN PETERSON |
NPI Number: | 1194003939 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 440756 |
Business Practice Address: | 9 Butler Pl Ossining, NY - 105624401 |
Business Phone Number: | 9146495169 |
Business Fax Number: | |
Mailing Address: | 9 Butler Pl, OSSINING |
State: | NY |
Postal Code: | 105624401 |
Phone Number: | 9146495169 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2011 |
NPI Last Update Date: | 07/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 440756 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |