Pauline Peterkin, APRN - Counselor in Fort Lauderdale, FL

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Pauline Peterkin, APRN is a Nurse Practitioner - Psychiatric/mental Health based in Fort Lauderdale, Florida. Pauline Peterkin is licensed to practice in Florida (license number APRN1473942) and her current practice location is 330 Sw 27th Ave, Fort Lauderdale, Florida. She can be reached at her office (for appointments etc.) via phone at (954) 791-4300.

NPI number for Pauline Peterkin is 1174743728 and her current mailing address is 4740 N State Road 7, Lauderdale Lakes, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174743728.

Contact Information

Pauline Peterkin, APRN
330 Sw 27th Ave,
Fort Lauderdale, FL 33312-2051
(954) 791-4300
Not Available

Map and Direction


Healthcare Provider's Profile

Full NamePauline Peterkin
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location330 Sw 27th Ave, Fort Lauderdale, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174743728
  • Provider Enumeration Date: 04/26/2007
  • Last Update Date: 10/25/2021

Medical Identifiers

Medical identifiers for Pauline Peterkin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174743728NPI-NPPES
766721300MedicaidFL
1473942OtherFLARNP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health APRN1473942 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 1473942 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN1473942 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pauline Peterkin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pauline Peterkin, APRN
4740 N State Road 7,
Lauderdale Lakes, FL 33319-5839

Ph: (954) 486-4005		Pauline Peterkin, APRN
330 Sw 27th Ave,
Fort Lauderdale, FL 33312-2051

Ph: (954) 791-4300

Reviews and Comments


Nurse Practitioner in Fort Lauderdale, FL


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