Active NPIIndividual provider

Julianne J Peterson, APRN

Nurse Practitioner, Family in Waterford, Connecticut

NPI Number1003691510
Practice location
5 Dayton RD Ste 102, Waterford, CT 06385-4279
Fax
—
Last updated
July 21, 2025

Julianne Joan Peterson is a Nurse Practitioner, Family based in Waterford, CT. Julianne Joan Peterson practices in Waterford, CT and has the professional credentials of APRN. The NPI Number for Julianne Joan Peterson is 1003691510 and holds a License No. 10.174952 (CT). The current practice location address for Julianne Joan Peterson is 5 Dayton RD Ste 102, Waterford, CT 06385-4279 and can be reached out via phone at 860-271-2400.

Provider Profile Details

NPI Number
1003691510
Provider Name
Julianne Joan Peterson
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
5 Dayton RD Ste 102, Waterford, CT 06385-4279
Phone Number
860-271-2400
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
August 31, 2023
Last Update Date
July 21, 2025
Certification Date
July 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Dayton RD Ste 102
Waterford, CT 06385-4279
Zip
06385-4279
Phone Number
860-271-2400
Waterford, CT 06385Get directions →

Provider Business Mailing Address Details

Address
1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
City
Wethersfield
State
CT
Zip
06109-4337

License Information

License Number (1)
10.174952
License State (1)
CT
Taxonomy (1)
Registered Nurse, Medical-Surgical · 163WM0705X
License Number (2)
14926
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Julianne J Peterson, APRN?

The NPI number of Julianne J Peterson, APRN is 1003691510. It was assigned on August 31, 2023 and is currently active in the NPPES registry.

What is the specialty of Julianne J Peterson, APRN?

Julianne J Peterson, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 10.174952.

Where does Julianne J Peterson, APRN practice?

The practice location is 5 Dayton RD Ste 102, Waterford, CT 06385-4279. The office can be reached at 860-271-2400 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003691510 directly on the NPPES registry website.

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