| Doctor Name: | JANICE MARY PETERSON |
| NPI Number: | 1730176363 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 136657 |
| Business Practice Address: | 8 Burnham St Connecticut River Internists Turners Falls, MA - 013761816 |
| Business Phone Number: | 4137745554 |
| Business Fax Number: | 4137759137 |
| Mailing Address: | 32 Stockbridge Rd, HADLEY |
| State: | MA |
| Postal Code: | 010353516 |
| Phone Number: | 4135492810 |
| Fax Number: | |
| NPI Enumeration Date: | 09/29/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 136657 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |