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Ricky Karl Peterson, RN
Emergency Registered Nurse in Philadelphia, Pennsylvania
NPI 1053036020

Ricky Karl Peterson is a Emergency Registered Nurse based in Philadelphia, PA and is specialized in Emergency. Ricky Karl Peterson practices in Philadelphia, PA and has the professional credentials of RN. The NPI Number for Ricky Karl Peterson is 1053036020 and holds a License No. RN61037467 (Pennsylvania).

The current practice location address for Ricky Karl Peterson is 1200 Intrepid Ave, Philadelphia, PA and can be reached out via phone at 303-883-6553. You can also correspond with Ricky Karl Peterson through the mailing address at 1200 INTREPID AVE, PHILADELPHIA, PA - 19112-1229 (mailing address contact number: ).

Location: 1200 Intrepid Ave, Philadelphia, PA, 19112-1229
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Provider Profile Details
NPI Number
1053036020
Provider Name
Ricky Karl Peterson
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
1200 Intrepid Ave, Philadelphia, PA, 19112-1229
Phone Number
303-883-6553
Fax Number
Provider Enumeration Date
10/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1200 Intrepid Ave
City
State
Zip
19112-1229
Phone Number
303-883-6553
Fax Number
person
Provider Business Mailing Address Details
Address
1200 Intrepid Ave
City
State
Zip
19112-1229
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
License No.
RN61037467 (Washington)
Definition
Definition to come...
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