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Dr. Caitlin Gannon Peterson, DO
Pediatric Nephrology Physician in Norfolk, Virginia
NPI 1760742530

Caitlin Gannon Peterson is a Pediatric Nephrology Physician based in Norfolk, VA and is specialized in Pediatric Nephrology. Caitlin Gannon Peterson practices in Norfolk, VA and has the professional credentials of DO. The NPI Number for Caitlin Gannon Peterson is 1760742530 and holds a License No. 10784090-1204 (Virginia).

The current practice location address for Caitlin Gannon Peterson is 601 Childrens Ln, Norfolk, VA and can be reached out via phone at 757-668-7244.

Location: 601 Childrens Ln, Norfolk, VA, 23507-1910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760742530
Provider Name
Caitlin Gannon Peterson
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
601 Childrens Ln, Norfolk, VA, 23507-1910
Phone Number
757-668-7244
Fax Number
Provider Enumeration Date
05/25/2012
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
601 Childrens Ln
City
Norfolk
State
Virginia
Zip
23507-1910
Phone Number
757-668-7244
Fax Number
person
Provider Business Mailing Address Details
Address
601 Childrens Ln
City
Norfolk
State
Virginia
Zip
23507-1910
Phone Number
757-668-7244
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Nephrology
Taxonomy
2080P0210X
License No.
()
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
10784090-1204 (Utah)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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