Doctor Name: | MRS. TEMITOPE PETERS |
NPI Number: | 1932500410 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 95001054 |
Business Practice Address: | 9128 Woodman Avenue Las Americas Medical Clinic Arleta, CA - 91331 |
Business Phone Number: | 8188927795 |
Business Fax Number: | |
Mailing Address: | 7657 Winnetka Ave # 265, WINNETKA |
State: | CA |
Postal Code: | 913062677 |
Phone Number: | 8187499230 |
Fax Number: | |
NPI Enumeration Date: | 09/15/2014 |
NPI Last Update Date: | 02/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 95001054 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |