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MS. GANIELLE MARVA PETERSON ASSISTED LIVING ADMN
NPI 1285241489
Nursing Home Administrator in Port St Lucie, FL

Active since September 30, 2020
2773 SE CLARETON TER, PORT ST LUCIE, FL 34952(954) 657-1812 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Ganielle Marva Peterson Assisted Living Admn NPPES

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

MS. GANIELLE MARVA PETERSON ASSISTED LIVING ADMN (NPI 1285241489) is an individual nursing home administrator provider in Port St Lucie, Florida and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1285241489
Entity TypeIndividualFemale
Primary Taxonomy376G00000X
Provider Legal NameMS. GANIELLE MARVA PETERSONCredential: ASSISTED LIVING ADMN
Location Address2773 SE CLARETON TERPort St Lucie, FL 34952-6621
Mailing Address2773 Se Clareton TerPort St Lucie, FL 34952-6621 · (954) 657-1812
Phone(954) 657-1812
Sole ProprietorNo
Enumeration DateSeptember 30, 2020
NPPES CertifiedSeptember 30, 2020
✔ NPI 1285241489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Home AdministratorNursing Service Related Providers
Taxonomy Code376G00000X
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
2773 SE CLARETON TER, Port St Lucie, FL 34952
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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 Ganielle Peterson's NPI number?

The NPI number for Ganielle Peterson is 1285241489. It was assigned to this individual provider in the NPPES registry on September 30, 2020.

Where is Ganielle Peterson located?

Ganielle Peterson practices at 2773 SE Clareton Ter, Port St Lucie, FL 34952. The listed phone number is (954) 657-1812.

What is Ganielle Peterson's specialty?

The primary specialty registered for this NPI is Nursing Home Administrator with taxonomy code 376G00000X.

When was this NPI record last updated?

The NPPES record for Ganielle Peterson was last updated on September 30, 2020. 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.