DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TAWNI PETERSON

Active Sole Proprietor

TAWNI PETERSON is a Primary Care Nurse Practitioner healthcare provider located in COUNCIL, Idaho. NPI 1508226226 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · COUNCIL, ID

Registration Details

NPI Number
1508226226
Provider Type
Individual
Gender
Female
NPI Issued
Feb 24, 2016 (10.32480206142 yrs)
Last Updated
Mar 16, 2017
Licenses
N-45114 (ID)
54458 (ID)
Sole Proprietor
Yes

Practice Information

Address
205 N BERKLEY ST
COUNCIL, ID, 83612
Browse ID providers · Browse ZIP 83612
Phone
2082500970
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in COUNCIL, ID

Name Credential NPI
AMY LOUISE BEAM FNP 1528550860
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.