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Mrs. Penny Lu Peterson, RN
Pediatric Registered Nurse in Wayland, New York
NPI 1659576833

Penny Lu Peterson is a Pediatric Registered Nurse based in Wayland, NY and is specialized in Pediatrics. Penny Lu Peterson practices in Wayland, NY and has the professional credentials of RN. The NPI Number for Penny Lu Peterson is 1659576833 and holds a License No. 273148-1 (New York).

The current practice location address for Penny Lu Peterson is 3730 State Route 21, Wayland, NY and can be reached out via phone at 585-534-5170.

Location: 3730 State Route 21, Wayland, NY, 14572-9727
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659576833
Provider Name
Penny Lu Peterson
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
3730 State Route 21, Wayland, NY, 14572-9727
Phone Number
585-534-5170
Fax Number
Provider Enumeration Date
06/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02682171 05 NY
institution
Provider Business Practice Location Address Details
Address
3730 State Route 21
City
Wayland
State
New York
Zip
14572-9727
Phone Number
585-534-5170
Fax Number
person
Provider Business Mailing Address Details
Address
3730 State Route 21
City
Wayland
State
New York
Zip
14572-9727
Phone Number
585-534-5170
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
163WP0200X
License No.
273148-1 (New York)
Definition
Definition to come...
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