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Kyrie Allison Peterson
Nurse Practitioner in Fort Wayne, Indiana
NPI 1336871318

Kyrie Allison Peterson is a Nurse Practitioner based in Fort Wayne, IN. Kyrie Allison Peterson practices in Fort Wayne, IN. The NPI Number for Kyrie Allison Peterson is 1336871318 and holds a License No. 71012788A (Indiana).

The current practice location address for Kyrie Allison Peterson is 5693 Ymca Park Dr W, Fort Wayne, IN and can be reached out via phone at 260-469-6603 and via fax at 260-486-6123.

Location: 5693 Ymca Park Dr W, Fort Wayne, IN, 46845-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336871318
Provider Name
Kyrie Allison Peterson
Credential
Provider Entity Type
Individual
Gender
Female
Address
5693 Ymca Park Dr W, Fort Wayne, IN, 46845-1701
Phone Number
260-469-6603
Fax Number
260-486-6123
Provider Enumeration Date
06/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5693 Ymca Park Dr W
City
Fort Wayne
State
Indiana
Zip
46835-3280
Phone Number
260-469-6603
Fax Number
260-486-6123
person
Provider Business Mailing Address Details
Address
5693 Ymca Park Dr W
City
Fort Wayne
State
Indiana
Zip
46835-3280
Phone Number
260-469-6603
Fax Number
260-486-6123
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71012788A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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