MEDICARE: MRS. MARGARET EMILY PETERSON R.N.F.A.

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	163WX0800X	Orthopedic Registered Nurse	336570	CA

General Provider Information

NPI Number	:	1952395071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARGARET EMILY PETERSON R.N.F.A.

Provider Business Mailing Address
First Line	:	438 RIVIERA CIR
Second Line	:
City	:	LARKSPUR
State	:	CA
Zip	:	94939-1510
Country	:	US
Telephone Number	:	415-927-8848
Fax Number	:	415-927-8858

Provider Business Practice Location Address
First Line	:	438 RIVIERA CIR
Second Line	:
City	:	LARKSPUR
State	:	CA
Zip	:	94939-1510
Country	:	US
Telephone Number	:	415-927-8848
Fax Number	:	415-927-8858

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

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	07/08/2007

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