DR. SANDRA PETERSEN DNPAPRN GNP-C NPI 1548396849

NPI Information

NPI: 1548396849
Provider Name: DR. SANDRA PETERSEN, DNP,APRN, GNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
6800 WEST LOOP S
SUITE 180
BELLAIRE, TX
ZIP 77401
Phone: (713) 981-6125
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DR. Sandra Petersen, DNP,APRN, GNP-C is a family nurse practitioner in Bellaire, TX with 18 years of experience. DR. Sandra Petersen, DNP,APRN, GNP-C NPI is 1548396849. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6800 WEST LOOP S
SUITE 180
BELLAIRE, TX
ZIP 77401-528
Phone: (713) 981-6125
Fax: (713) 664-7656

The NPI 1548396849 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 3/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	596367	TEXAS	No
2	363LF0000X	Nurse Practitioner	Family	596367	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	TXB131306	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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