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Contact Information

JERIANN C PETER, FNP
7555 ENCHANTED HILLS BLVD NE STE 104
RIO RANCHO, NM87144-8625
 Phone: 505-771-9833
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JERIANN C PETER · (Female)

NPI Number 1639405434
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 10/29/2009
Last updated 09/18/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2005021426
  • NM License # 53068
  • IL Medicaid 1639405434
  • MO Medicaid 1639405434
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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