MEDICARE: ERIN ABEL PETERSON

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	374J00000X	Doula		FL

General Provider Information

NPI Number	:	1164558839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN ABEL PETERSON

Provider Business Mailing Address
First Line	:	2101 NE 7TH TER
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32609-3774
Country	:	US
Telephone Number	:	352-256-0802
Fax Number	:

Provider Business Practice Location Address
First Line	:	2101 NE 7TH TER
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32609-3774
Country	:	US
Telephone Number	:	352-256-0802
Fax Number	:

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

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	06/01/2026

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