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Contact Information

WENDY L PETERSON, APRN
267 WILLIAM ST
MIDDLETOWN, CT06457
 Phone: 860-231-2381
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for WENDY L PETERSON · (Female)

NPI # 1992771315
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 02/25/2006
Last updated 02/07/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 000788
  • CT Other 000788 APRN ST OF CT LIC#
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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