Search › Indiana › 363LA2100X
Patricia Peterson, NP
NPI 1134694250 · on the registry since 2018
Practice
- Address
- 7836 W Jefferson Blvd Ste 101
Fort Wayne, IN 46804 - Phone
- (290) 494-3484
- Fax
- (290) 969-0188
- Organisation at this address
- Rcg Indiana, L.L.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 25
Additional practice sites
- 1797 W Kem Rd, Marion, IN
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana