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NPI Code Detail

MEDICARE: SYDNEE PETERS

MEDICARE: SYDNEE PETERS
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
1163W00000XRegistered NurseRN61373152WA

General Provider Information

NPI Number : 1467315036
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYDNEE PETERS
Provider Business Mailing Address
First Line : 1642 7TH AVE
Second Line :
City : CLARKSTON
State : WA
Zip : 99403-2907
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1642 7TH AVE
Second Line :
City : CLARKSTON
State : WA
Zip : 99403-2907
Country : US
Telephone Number : 509-780-3188
Fax Number : 509-780-3188
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “ SYDNEE PETERS ” Practice Location

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