Mrs Penny Lu Peterson, RN - Registered Nurse in Wayland, NY

Mrs Penny Lu Peterson, RN is a Registered Nurse - Pediatrics based in Wayland, New York. Mrs Penny Lu Peterson is licensed to practice in New York (license number 273148-1) and her current practice location is 3730 State Route 21, Wayland, New York. She can be reached at her office (for appointments etc.) via phone at (585) 534-5170.

NPI number for Mrs Penny Lu Peterson is 1659576833 and her current mailing address is 3730 State Route 21, Wayland, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659576833.

Contact Information

Mrs Penny Lu Peterson, RN
3730 State Route 21,
Wayland, NY 14572-9727
(585) 534-5170
Not Available

Map and Direction




Provider's Profile

Full NameMrs Penny Lu Peterson
GenderFemale
SpecialityRegistered Nurse - Pediatrics
Location3730 State Route 21, Wayland, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1659576833
  • Provider Enumeration Date: 06/18/2007
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Mrs Penny Lu Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659576833NPI-NPPES
02682171MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0200XRegistered Nurse - Pediatrics 273148-1 (New York)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. Mrs Penny Lu Peterson 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
Mrs Penny Lu Peterson, RN
3730 State Route 21,
Wayland, NY 14572-9727

Ph: (585) 534-5170
Mrs Penny Lu Peterson, RN
3730 State Route 21,
Wayland, NY 14572-9727

Ph: (585) 534-5170

Reviews and Comments


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