person
Mr. Jay Wademan Peterson, CNP
Family Nurse Practitioner in Albuquerque, New Mexico
NPI 1821012386

Jay Wademan Peterson is a Family Nurse Practitioner based in Albuquerque, NM and is specialized in Family. Jay Wademan Peterson practices in Albuquerque, NM and has the professional credentials of CNP. The NPI Number for Jay Wademan Peterson is 1821012386 and holds a License No. R48991 (New Mexico).

The current practice location address for Jay Wademan Peterson is 201 Cedar St Se, Albuquerque, NM and can be reached out via phone at 505-563-2800 and via fax at 505-563-2821. You can also correspond with Jay Wademan Peterson through the mailing address at 201 CEDAR ST SE, ALBUQUERQUE, NM - 87106-4917 (mailing address contact number: 505-563-2800).

Location: 201 Cedar St Se, Albuquerque, NM, 87106-4917
person
Provider Profile Details
NPI Number
1821012386
Provider Name
Jay Wademan Peterson
Credential
CNP
Provider Entity Type
Individual
Gender
Male
Address
201 Cedar St Se, Albuquerque, NM, 87106-4917
Phone Number
505-563-2800
Fax Number
505-563-2821
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
47737352 05 NM
institution
Provider Business Practice Location Address Details
Address
201 Cedar St Se
City
State
Zip
87106-4917
Phone Number
505-563-2800
Fax Number
505-563-2821
person
Provider Business Mailing Address Details
Address
201 Cedar St Se
City
State
Zip
87106-4917
Phone Number
505-563-2800
Fax Number
505-563-2821
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R48991 (New Mexico)
Definition
Definition to come...
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