MEDICARE: DR. KAREN E PETERS N.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175F00000X	Naturopath	ND 293	CA

General Provider Information

NPI Number	:	1457517526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN E PETERS N.D.

Provider Business Mailing Address
First Line	:	723 JACKSON ST
Second Line	:
City	:	ALBANY
State	:	CA
Zip	:	94706-1134
Country	:	US
Telephone Number	:	510-926-9987
Fax Number	:	510-527-4068

Provider Business Practice Location Address
First Line	:	514 KAINS AVE
Second Line	:
City	:	ALBANY
State	:	CA
Zip	:	94706-1217
Country	:	US
Telephone Number	:	510-559-3640
Fax Number	:	510-527-4068

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2008
Last Update Date	:	07/29/2008

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