RICKY KARL PETERSON RN
NPI 1053036020
Registered Nurse - Emergency in Philadelphia, PA
Active since October 11, 2022
About Ricky Karl Peterson Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICKY KARL PETERSON RN (NPI 1053036020) is an individual emergency provider in Philadelphia, Pennsylvania, licensed in Washington (RN61037467) and active in the NPI registry since October 2022.
NPPES Registry Identity
NPI1053036020
Entity TypeIndividualMale
Primary Taxonomy163WE0003X
Provider Legal NameRICKY KARL PETERSONCredential: RN
Location Address1200 INTREPID AVEPhiladelphia, PA 19112-1229
Mailing Address1200 Intrepid AvePhiladelphia, PA 19112-1229
Phone(303) 883-6553
Sole ProprietorYes
Enumeration DateOctober 11, 2022
NPPES CertifiedOctober 11, 2022
✔ NPI 1053036020 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · EmergencyNursing Service Providers
Taxonomy Code163WE0003X
License✔ Licensed in WA · RN61037467
1200 INTREPID AVE, Philadelphia, PA 19112
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Registered Nurse (Psychiatric/Mental Health, Adult)
1200 INTREPID AVE
PHILADELPHIA, PA 19112
PHILADELPHIA, PA 19112
Registered Nurse
1200 INTREPID AVE
PHILADELPHIA, PA 19112
PHILADELPHIA, PA 19112
Registered Nurse (Emergency)
1200 INTREPID AVE
PHILADELPHIA, PA 19112
PHILADELPHIA, PA 19112
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053036020, enumerated as an "individual" on October 11, 2022.
The provider is located at 1200 INTREPID AVE PHILADELPHIA, PA 19112 and the phone number is (303) 883-6553.
Registered Nurse with taxonomy code 163WE0003X and a focus in Emergency.
