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Contact Information

TAWNI PETERSON
205 N BERKLEY ST
COUNCIL, ID83612
 Phone: 208-250-0970
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for TAWNI PETERSON · (Female)

NPI Number 1508226226
Status Active
Credentials
Entity Individual
Enumeration date 02/24/2016
Last updated 03/16/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # 54458
  • ID License # N-45114
Hospital affiliation(s)
  • ST ALPHONSUS REGIONAL MEDICAL CENTER - (Acute Care)
    1055 NORTH CURTIS ROAD
    BOISE, ID 83706
  • ST LUKE'S MCCALL - (Critical Access)
    1000 STATE STREET
    MC CALL, ID 83638
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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