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PETERSON MEDICAL LLC
NPI 1033762513
Nurse Practitioner - Family in Blanchard, OK

Active since July 23, 2019
217 N HARRISON AVE, BLANCHARD, OK 73010(405) 631-0611 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peterson Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETERSON MEDICAL LLC (NPI 1033762513) is a healthcare organization registered as a family in Blanchard, Oklahoma and active in the NPI registry since July 2019. The organization lists Braden Peterson, Member, as its authorized official.

NPPES Registry Identity

NPI1033762513
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePETERSON MEDICAL LLC
Location Address217 N HARRISON AVEBlanchard, OK 73010-6211
Mailing Address701 Ne 36th StOklahoma City, OK 73105-7203 · (405) 631-0611
Phone(405) 631-0611
Organization SubpartNo
Authorized OfficialBraden PetersonMember · (580) 235-1657
Enumeration DateJuly 23, 2019
✔ NPI 1033762513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
217 N HARRISON AVE, Blanchard, OK 73010
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peterson Medical LLC's NPI number?

The NPI number for Peterson Medical LLC is 1033762513. It was assigned to this organization in the NPPES registry on July 23, 2019.

Where is Peterson Medical LLC located?

Peterson Medical LLC is located at 217 N Harrison Ave, Blanchard, OK 73010. The listed phone number is (405) 631-0611.

What is Peterson Medical LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Peterson Medical LLC was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.