National Provider Identifier
Penny Lu Peterson, RN
Penny Lu Peterson, RN is listed in the NPPES registry with a primary specialty of Pediatric Registered Nurse in Wayland, NY and a listed phone number of (585) 534-5170.
Profile Overview
- NPI
- 1659576833
- Provider Type
- Individual
- Primary Specialty
- Pediatric Registered Nurse
- Enumeration Date
- June 18, 2007
- Last Updated
- July 09, 2007
Practice Location
- 3730 State Route 21
- Wayland, NY 14572-9727
Phone: (585) 534-5170
Specialties
- Pediatric Registered Nurse (163WP0200X)
Full Record
- NPI
- 1659576833
- Entity Type
- Individual
- Last Name
- Peterson
- First Name
- Penny
- Middle Name
- Lu
- Name Prefix
- Mrs.
- Credential
- RN
- Mailing Street Address
- 3730 State Route 21
- Mailing City
- Wayland
- Mailing State
- NY
- Mailing ZIP Code
- 14572-9727
- Mailing Country
- US
- Mailing Phone
- (585) 534-5170
- Practice Street Address
- 3730 State Route 21
- Practice City
- Wayland
- Practice State
- NY
- Practice ZIP Code
- 14572-9727
- Practice Country
- US
- Practice Phone
- (585) 534-5170
- Enumeration Date
- June 18, 2007
- Last Updated
- July 09, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Registered Nurse (163WP0200X)
- Other Identifiers
- 02682171 (NY)