MARY K PETERSON APRN
NPI 1063548428
Nurse Practitioner - Pediatrics in North Haven, CT

Active since February 27, 2007
451 STATE ST, NORTH HAVEN, CT 06473(203) 248-8888(860) 621-5169 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary K Peterson Aprn NPPES

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

MARY K PETERSON APRN (NPI 1063548428) is an individual pediatrics provider in North Haven, Connecticut, licensed in Connecticut (000666) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1063548428
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARY K PETERSONCredential: APRN
Location Address451 STATE STNorth Haven, CT 06473-3070
Mailing Address451 State StNorth Haven, CT 06473-3070 · (203) 248-8888 · Fax (860) 621-5169
Fax(860) 621-5169
Sole ProprietorNo
Enumeration DateFebruary 27, 2007
Last NPPES UpdateMay 19, 2021
NPPES CertifiedMay 19, 2021
NPI 1063548428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in CT · 000666
451 STATE ST, North Haven, CT 06473

Other Identifiers 1

Other000666State Of Ct License #

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
451 STATE ST
NORTH HAVEN, CT 06473
Clinic/Center (Mental Health (Including Community Mental Health Center))
451 STATE ST
NORTH HAVEN, CT 06473
Pediatrics
451 STATE ST
NORTH HAVEN, CT 06473
Nurse Practitioner (Pediatrics)
451 STATE ST
NORTH HAVEN, CT 06473
Social Worker (Clinical)
451 STATE ST
NORTH HAVEN, CT 06473
Social Worker (Clinical)
451 STATE ST
NORTH HAVEN, CT 06473
Nurse Practitioner (Pediatrics)
451 STATE ST
NORTH HAVEN, CT 06473
Pediatrics (Adolescent Medicine)
451 STATE ST
NORTH HAVEN, CT 06473

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 Mary Peterson's NPI number?

The NPI number for Mary Peterson is 1063548428. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Mary Peterson located?

Mary Peterson practices at 451 State St, North Haven, CT 06473. The listed phone number is (203) 248-8888.

What is Mary Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mary Peterson was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.