Healthcare Provider Details

I. General information

NPI: 1992630834
Provider Name (Legal Business Name): HANNAH L PETERSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14327 NORHILL POINTE DR
HOUSTON TX
77044-5359
US

IV. Provider business mailing address

14327 NORHILL POINTE DR
HOUSTON TX
77044-5359
US

V. Phone/Fax

Practice location:
  • Phone: 832-799-4125
  • Fax:
Mailing address:
  • Phone: 832-799-4125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LS0200X
TaxonomySchool Nurse Practitioner
License Number1064145
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: