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NPI Code Detail

MEDICARE: ANNA MARIE PETERS NURSE PRACTITIONER

MEDICARE: ANNA MARIE PETERS NURSE PRACTITIONER
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
1363LF0000XFamily Nurse PractitionerCA 14687CA
2363LF0000XFamily Nurse Practitioner201150021NPOR
3363L00000XNurse PractitionerAP60430886WA

General Provider Information

NPI Number : 1649363433
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA MARIE PETERS NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 1345 KING ST
Second Line :
City : BELLINGHAM
State : WA
Zip : 98229-6223
Country : US
Telephone Number : 360-676-1696
Fax Number : 360-676-6636
Provider Business Practice Location Address
First Line : 1345 KING ST
Second Line :
City : BELLINGHAM
State : WA
Zip : 98229-6223
Country : US
Telephone Number : 360-676-1696
Fax Number : 360-676-6636
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 02/12/2016

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1962554972 — CAILIE A BUCKINGHAM R.D.
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1346455870 — MERALEE K H BYKER P.A.-C
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Directions to “ ANNA MARIE PETERS NURSE PRACTITIONER” Practice Location

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