person
Phyllis G Peterson, NP
Primary Care Nurse Practitioner in Belle Chasse, Louisiana
NPI 1366703019

Phyllis G Peterson is a Primary Care Nurse Practitioner based in Belle Chasse, LA and is specialized in Primary Care. Phyllis G Peterson practices in Belle Chasse, LA and has the professional credentials of NP. The NPI Number for Phyllis G Peterson is 1366703019 and holds a License No. 2065 (Louisiana).

The current practice location address for Phyllis G Peterson is 103 Dr. Bowen St., Belle Chasse, LA and can be reached out via phone at 504-392-3392 and via fax at 504-392-3303.

Location: 103 Dr. Bowen St., Belle Chasse, LA, 70037
person
Provider Profile Details
NPI Number
1366703019
Provider Name
Phyllis G Peterson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
103 Dr. Bowen St., Belle Chasse, LA, 70037
Phone Number
504-392-3392
Fax Number
504-392-3303
Provider Enumeration Date
05/30/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2364693 05 LA
2065 01 LA 2065
institution
Provider Business Practice Location Address Details
Address
103 Dr. Bowen St.
City
State
Zip
70037
Phone Number
504-392-3392
Fax Number
504-392-3303
person
Provider Business Mailing Address Details
Address
103 Dr. Bowen St.
City
State
Zip
70037
Phone Number
504-392-3392
Fax Number
504-392-3303
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
2065 (Louisiana)
Definition
Definition to come...
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