Ricky Karl Peterson, RN
NPI #1053036020 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1053036020
- Entity Type
- Individual
- Name
- Ricky Karl Peterson, RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse - Emergency
- Credential
- RN
- Enumeration Date
- Oct 11, 2022
- Last Updated
- Oct 11, 2022
Practice Location
- Address
- 1200 INTREPID AVE
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19112-1229
- Phone
- (303) 883-6553
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Emergency — Emergency |
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