PAULINE PETERKIN APRN
NPI 1174743728
Nurse Practitioner - Psychiatric/Mental Health in Fort Lauderdale, FL

Active since April 26, 2007
330 SW 27TH AVE, FORT LAUDERDALE, FL 33312(954) 791-4300 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pauline Peterkin Aprn NPPES

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

PAULINE PETERKIN APRN (NPI 1174743728) is an individual psychiatric/mental health provider in Fort Lauderdale, Florida, licensed in Florida (APRN1473942) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1174743728
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NamePAULINE PETERKINCredential: APRN
Location Address330 SW 27TH AVEFort Lauderdale, FL 33312-2051
Mailing Address4740 N State Road 7Lauderdale Lakes, FL 33319-5839 · (954) 486-4005
Sole ProprietorNo
Enumeration DateApril 26, 2007
Last NPPES UpdateOctober 25, 2021
NPPES CertifiedOctober 25, 2021
NPI 1174743728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in FL · APRN1473942 Licensed in FL · 1473942
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License APRN1473942 (FL)
330 SW 27TH AVE, Fort Lauderdale, FL 33312

Other Identifiers 2

Other1473942FL · Arnp
Medicaid766721300FL

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
330 SW 27TH AVE
FORT LAUDERDALE, FL 33312
Nurse Practitioner (Psychiatric/Mental Health)
330 SW 27TH AVE
FORT LAUDERDALE, FL 33312
Counselor (Mental Health)
330 SW 27TH AVE
FORT LAUDERDALE, FL 33312
Social Worker (Clinical)
330 SW 27TH AVE
FORT LAUDERDALE, FL 33312
Counselor (Mental Health)
330 SW 27TH AVE
FORT LAUDERDALE, FL 33312
Counselor (Mental Health)
330 SW 27TH AVE
FORT LAUDERDALE, FL 33312
Psychiatry & Neurology (Psychiatry)
330 SW 27TH AVE
FORT LAUDERDALE, FL 33312
Pharmacist (Ambulatory Care)
330 SW 27TH AVE
FT LAUDERDALE, FL 33312

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 Pauline Peterkin's NPI number?

The NPI number for Pauline Peterkin is 1174743728. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Pauline Peterkin located?

Pauline Peterkin practices at 330 SW 27th Ave, Fort Lauderdale, FL 33312. The listed phone number is (954) 791-4300.

What is Pauline Peterkin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Pauline Peterkin was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.