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Tiffany Rea Petersen, NP
Adult Health Nurse Practitioner in Albany, New York
NPI 1609547363

Tiffany Rea Petersen is an Adult Health Nurse Practitioner based in Albany, NY and is specialized in Adult Health. Tiffany Rea Petersen practices in Albany, NY and has the professional credentials of NP. The NPI Number for Tiffany Rea Petersen is 1609547363 and holds a License No. 310890 (New York).

The current practice location address for Tiffany Rea Petersen is 315 S Manning Blvd, Albany, NY and can be reached out via phone at 185-252-7957.

Location: 315 S Manning Blvd, Albany, NY, 12212-4890
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609547363
Provider Name
Tiffany Rea Petersen
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
315 S Manning Blvd, Albany, NY, 12212-4890
Phone Number
185-252-7957
Fax Number
Provider Enumeration Date
09/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
315 S Manning Blvd
City
Albany
State
New York
Zip
12208-1707
Phone Number
185-252-7957
Fax Number
person
Provider Business Mailing Address Details
Address
315 S Manning Blvd
City
Albany
State
New York
Zip
12208-1707
Phone Number
185-252-7957
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
310890 (New York)
Definition
Definition to come...
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