National Provider Identifier
Alexis Rae Peterson, LPN
Alexis Rae Peterson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Randolph, NY and a listed phone number of (315) 746-0303.
Profile Overview
- NPI
- 1215713185
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- September 06, 2023
- Last Updated
- September 06, 2023
Practice Location
- 356 Main Street Er
- Randolph, NY 14772-9696
Phone: (315) 746-0303
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1215713185
- Entity Type
- Individual
- Last Name
- Peterson
- First Name
- Alexis
- Middle Name
- Rae
- Credential
- LPN
- Mailing Street Address
- 356 Main Street Er
- Mailing City
- Randolph
- Mailing State
- NY
- Mailing ZIP Code
- 14772-9696
- Mailing Country
- US
- Mailing Phone
- (315) 746-0303
- Practice Street Address
- 356 Main Street Er
- Practice City
- Randolph
- Practice State
- NY
- Practice ZIP Code
- 14772-9696
- Practice Country
- US
- Practice Phone
- (315) 746-0303
- Enumeration Date
- September 06, 2023
- Last Updated
- September 06, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 28, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)