MEDICARE: CHRISTINE MARIA PETERSON RD

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	133V00000X	Registered Dietitian	430	NM

General Provider Information

NPI Number	:	1598205189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE MARIA PETERSON RD

Provider Business Mailing Address
First Line	:	2450 S TELSHOR BLVD
Second Line	:	MEMORIAL MEDICAL CENTER
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-5141
Country	:	US
Telephone Number	:	575-521-5042
Fax Number	:	575-521-5045

Provider Business Practice Location Address
First Line	:	2100 S TRIVIZ DR
Second Line	:	SUITE G
City	:	LAS CRUCES
State	:	NM
Zip	:	88001-0605
Country	:	US
Telephone Number	:	575-556-1849
Fax Number	:

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

Provider Enumeration Date	:	03/01/2017
Last Update Date	:	03/01/2017

Similar Medicare Providers

1366406639 — FRANK TERRELL FELTS M.D.
Practice Location Address:

2100 S TRIVIZ DR , SUITE G
LAS CRUCES, NM
88001-0605

Practice Phone: 575-556-1849
Practice Fax: 575-532-2030

1174758148 — MRS. LORI R BEALE C.N.M, M.S.N.
Practice Location Address:

2100 S TRIVIZ DR , SUITE H
LAS CRUCES, NM
88001-0605

Practice Phone: 575-522-9793
Practice Fax: 575-532-9019

1235484304 — LAS CRUCES PHYSICIAN PRACTICES LLC
Practice Location Address:

2100 S TRIVIZ DR , SUITE H
LAS CRUCES, NM
88001-0605

Practice Phone: 575-522-9793
Practice Fax: 575-532-9019

1932047784 — MS. MARIA M DEL BUSTO
Practice Location Address:

1140 N TOWN CENTER DR STE 100
LAS VEGAS, NV
89144-0605

Practice Phone: 702-202-2060
Practice Fax: 702-605-2892

1366858078 — YANDY MIRANDA M.D
Practice Location Address:

1140 N TOWN CENTER DR STE 100
LAS VEGAS, NV
89144-0605

Practice Phone: 702-202-2060
Practice Fax: 702-605-2892

1457831141 — BRIGHTER FUTURES LLC
Practice Location Address:

1650 N PECOS RD APT 3052
LAS VEGAS, NV
89115-0605

Practice Phone: 267-593-1473
Practice Fax:

Directions to “ CHRISTINE MARIA PETERSON RD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.