Ms Debra Theresa Peterson I, LPN is a
Licensed Vocational Nurse based in San Tan Valley, Arizona. Ms Debra Theresa Peterson I is licensed to practice in Arizona (license number LP042742) and her current practice location is
38454 N Carolina Ave, San Tan Valley, Arizona. She can be reached at her office (for appointments etc.) via phone at
(480) 882-3520.
NPI number for Ms Debra Theresa Peterson I is 1699109868 and her current mailing address is 1359 W Diamond Ave, Apache Junction, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699109868.
Provider's Profile
Full Name | Ms Debra Theresa Peterson I |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 38454 N Carolina Ave, San Tan Valley, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699109868
- Provider Enumeration Date: 08/23/2013
- Last Update Date: 10/21/2015
Medical Identifiers
Medical identifiers for Ms Debra Theresa Peterson I such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699109868 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | LP042742 (Arizona) | 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. Ms Debra Theresa Peterson I 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 Address | Practice Location Address |
Ms Debra Theresa Peterson I, LPN 1359 W Diamond Ave, Apache Junction, AZ 85120-6377 Ph: (480) 275-9774 | Ms Debra Theresa Peterson I, LPN 38454 N Carolina Ave, San Tan Valley, AZ 85140-5835 Ph: (480) 882-3520 |
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