National Provider Identifier
Patricia Beth Petersen, RN
Patricia Beth Petersen, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Perrysburg, NY and a listed phone number of (716) 532-1049.
Profile Overview
- NPI
- 1316198831
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- October 02, 2008
- Last Updated
- October 02, 2008
Practice Location
- 10714 North RD
- Perrysburg, NY 14129-9746
Phone: (716) 532-1049
Mailing Address
- 11064 Fairview Dr
- Gowanda, NY 14070-9607
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1316198831
- Entity Type
- Individual
- Last Name
- Petersen
- First Name
- Patricia
- Middle Name
- Beth
- Credential
- RN
- Provider Other Last Name
- Farley
- Provider Other First Name
- Patricia
- Provider Other Middle Name
- Beth
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 11064 Fairview Dr
- Mailing City
- Gowanda
- Mailing State
- NY
- Mailing ZIP Code
- 14070-9607
- Mailing Country
- US
- Mailing Phone
- (716) 532-5732
- Practice Street Address
- 10714 North RD
- Practice City
- Perrysburg
- Practice State
- NY
- Practice ZIP Code
- 14129-9746
- Practice Country
- US
- Practice Phone
- (716) 532-1049
- Practice Fax
- (716) 532-0679
- Enumeration Date
- October 02, 2008
- Last Updated
- October 02, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)