Peterson Functional Medicine

NPI #1689484420 in Venus, Pennsylvania

Provider Information

NPI Number: 1689484420
Entity Type: Organization
Organization Name: Peterson Functional Medicine
Primary Specialty: Family Medicine
Enumeration Date: Jan 13, 2025
Last Updated: Jan 13, 2025

Practice Location

Address: 1860 OLD STATE RD
City: Venus
State: Pennsylvania
ZIP Code: 16364-2316
Phone: (814) 673-3830

Authorized Official

Name: MRS. JENNIFER LYNN PETERSON, DNP, CRNP
Title: OWNER
Phone: (814) 673-3830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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