MS. BRANDY AULT PETERSEN


Address: 180 George Washington Blvd, Hull, MA 02045-3069
Phone: 6173763000

MS. BRANDY AULT PETERSEN (NPI# 1194904532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194904532
Entity Type Individual
Full Name MS. BRANDY AULT PETERSEN
Credential RN, MSN, ANP
Practice Address 180 George Washington Blvd
Hull
MA 02045-3069
Mailing Address 110 W Squantum St
North Quincy
MA 02171-2122
Practice Telephone 6173763000
Practice Fax Number 6177741906
Mailing Telephone 6173763000
Mailing Fax Number 6177741906
Enumeration Date 2007-11-02
Last Update Date 2013-08-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
262850 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 180 GEORGE WASHINGTON BLVD
City HULL
State MA
Zip Code 02045-3069

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427027275 Jennifer Fossan Sabir Family Medicine 180 George Washington Blvd, Manet Community Health Center Inc, Hull, MA 02045-3069 2006-03-15
1356607584 Nikita Fitzcharles Student in an Organized Health Care Education/Training Program 180 George Washington Blvd, Hull, MA 02045-3069 2012-04-02
1609931609 Judith L Lyden Dietitian, Registered 180 George Washington Blvd, Manet Community Health Center, Hull, MA 02045-3069 2006-12-27
1285665018 Manet Community Health Center, Inc. Clinic/Center 180 George Washington Blvd, Hull, MA 02045-3069 2006-07-06

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NPI Name Taxonomy Address Enumeration
1134527286 Bilun Ozbilen Counselor 485 Nantasket Ave Unit C, Hull, MA 02045 2014-12-05
1669756961 Door Is Open Counseling Center Counselor 485 Nantasket Avenue, Unit C, Hull, MA 02045 2011-10-05
1376758664 Town of Hull Public Health or Welfare 253 Atlantic Ave, 2nd Floor Board of Health, Hull, MA 02045 2007-05-11
1235254913 Cleopatra Peterson Knight-wilkins Occupational Therapist 10 A Marina Drive, Hull, MA 02045 2007-03-20
1922161108 Kenneth James Goodman Chiropractor 487 Nantasket Ave, Hull, MA 02045 2006-12-18
1336157338 Locke White Dental Associates LLC Dentist 529 Nantasket Ave, Hull, MA 02045 2006-08-04
1699829705 Goodman Chiropractic Offices Chiropractor 487 Nantasket Ave, Hull, MA 02045 2007-01-23
1942218946 John A Silva Dentist 529 Nantasket Ave, Hull, MA 02045 2006-08-04
1609884618 Stephen A Locke Dentist 529 Nantasket Ave, Hull, MA 02045 2006-08-04
1699783605 Jessica L White Dentist 529 Nantasket Ave, Hull, MA 02045 2006-08-04
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1407460322 Devi Sivanandan Nurse Practitioner 18 Dale St Unit 5c, Andover, MA 01810-5663 2020-09-08
1447863600 Diana Stephanie Freiberger Nurse Practitioner 965 West St, Walpole, MA 02081-1200 2020-08-27
1063023216 Christine Cibotti Nurse Practitioner 8 Forty Acres Dr, Wayland, MA 01778-2702 2020-08-12
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Competitor

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City HULL
Zip Code 02045

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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