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Contact Information

BONNIE BOYETTE PETERSON, APRN-C
4300 SW 13TH ST
GAINESVILLE, FL32608-4006
 Phone: 352-374-5600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BONNIE BOYETTE PETERSON · (Female)

NPI # 1194874669
Status Active
Credentials APRN-C
Entity Individual
Enumeration date 01/10/2007
Last updated 07/21/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # APRN1095542
  • FL License # ARNP 1095542
  • FL Medicaid 301875000
  • FL Other LT773 MEDICARE
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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