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Dr. Virginia Marie Peterson, ANP
Adult Health Nurse Practitioner in Dix Hills, New York
NPI 1619284551

Virginia Marie Peterson is an Adult Health Nurse Practitioner based in Dix Hills, NY and is specialized in Adult Health. Virginia Marie Peterson practices in Dix Hills, NY and has the professional credentials of ANP. The NPI Number for Virginia Marie Peterson is 1619284551 and holds a License No. F302610-1 (New York).

The current practice location address for Virginia Marie Peterson is 26 Leroy St, Dix Hills, NY and can be reached out via phone at 631-940-7642.

Location: 26 Leroy St, Dix Hills, NY, 11746-6644
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619284551
Provider Name
Virginia Marie Peterson
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
26 Leroy St, Dix Hills, NY, 11746-6644
Phone Number
631-940-7642
Fax Number
Provider Enumeration Date
09/13/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2E2181 01 NY MEDICARE PROVIDER #
institution
Provider Business Practice Location Address Details
Address
26 Leroy St
City
Dix Hills
State
New York
Zip
11746-6644
Phone Number
631-940-7642
Fax Number
person
Provider Business Mailing Address Details
Address
26 Leroy St
City
Dix Hills
State
New York
Zip
11746-6644
Phone Number
631-940-7642
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.
F302610-1 (New York)
Definition
Definition to come...
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