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NPI Code Detail

MEDICARE: KARA M. PETERSON CNM

MEDICARE: KARA M. PETERSON CNM
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
1367A00000XAdvanced Practice MidwifeMW010206PA
2363LF0000XFamily Nurse PractitionerSP028548PA

General Provider Information

NPI Number : 1114257854
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA M. PETERSON CNM
Provider Business Mailing Address
First Line : 3015 GRAYSON AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15227-2501
Country : US
Telephone Number : 412-867-8625
Fax Number :
Provider Business Practice Location Address
First Line : 249 S 9TH ST FL 1
Second Line :
City : PITTSBURGH
State : PA
Zip : 15203-1265
Country : US
Telephone Number : 412-697-3260
Fax Number : 412-697-3263
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2009
Last Update Date : 11/16/2023

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