National Provider Identifier

Lauraine Alice Peterson

Lauraine Alice Peterson is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Registered Nurse in Jamestown, NY and a listed phone number of (716) 753-4104.

NPI 1154801025Jamestown, NYPsychiatric/Mental Health Registered Nurse

Profile Overview

NPI
1154801025
Provider Type
Individual
Primary Specialty
Psychiatric/Mental Health Registered Nurse
Enumeration Date
August 20, 2018
Last Updated
August 20, 2018

Practice Location

  • 200 E 3Rd St Ste 5
  • Jamestown, NY 14701-5433

Phone: (716) 753-4104

Mailing Address

  • 2 Academy St Rm 201
  • Mayville, NY 14757-1050

Specialties

  • Psychiatric/Mental Health Registered Nurse (163WP0808X)
Full Record
NPI
1154801025
Entity Type
Individual
Last Name
Peterson
First Name
Lauraine
Middle Name
Alice
Mailing Street Address
2 Academy St Rm 201
Mailing City
Mayville
Mailing State
NY
Mailing ZIP Code
14757-1050
Mailing Country
US
Mailing Phone
(716) 753-4104
Mailing Fax
(716) 753-4230
Practice Street Address
200 E 3Rd St Ste 5
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-5433
Practice Country
US
Practice Phone
(716) 753-4104
Enumeration Date
August 20, 2018
Last Updated
August 20, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychiatric/Mental Health Registered Nurse (163WP0808X)