person
Paula M Peterson, FNP
Family Nurse Practitioner in Fort Worth, Texas
NPI 1568473601

Paula M Peterson is a Family Nurse Practitioner based in Fort Worth, TX and is specialized in Family. Paula M Peterson practices in Fort Worth, TX and has the professional credentials of FNP. The NPI Number for Paula M Peterson is 1568473601 and holds a License No. 504482 (Texas).

The current practice location address for Paula M Peterson is 2919 Markum Dr, Fort Worth, TX and can be reached out via phone at 817-831-0321 and via fax at 817-831-3211.

Location: 2919 Markum Dr, Fort Worth, TX, 76117-4004
person
Provider Profile Details
NPI Number
1568473601
Provider Name
Paula M Peterson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2919 Markum Dr, Fort Worth, TX, 76117-4004
Phone Number
817-831-0321
Fax Number
817-831-3211
Provider Enumeration Date
08/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45D0703080 01 TX GROUP CLIA
TXB110627 01 TX GROUP MEDICARE PIN
092104102 01 TX GROUP MEDICAID/TPI
092104103 01 TX GROUP EPSDT
F057 01 TX GROUP MEDICARE
1578514535 01 TX GROUP NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
2919 Markum Dr
City
State
Zip
76117-4004
Phone Number
817-831-0321
Fax Number
817-831-3211
person
Provider Business Mailing Address Details
Address
2919 Markum Dr
City
State
Zip
76117-4004
Phone Number
817-831-0321
Fax Number
817-831-3211
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
504482 (Texas)
Definition
Definition to come...
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