Eljena Marie Peterson (NPI# 1306341656, PAC ID# 3678829728) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1306341656 |
| PAC ID by PECOS | 3678829728 |
| Professional Enrollment ID | I20180703002785 |
| Full Name | Eljena Marie Peterson |
| Address |
119 St Patrick Tonopah NV 89049 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 291300 | MOUNT GRANT GENERAL HOSPITAL |
| 051324 | NORTHERN INYO HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 119 St Patrick, Tonopah, NV 89049 |
| Street Address |
119 ST PATRICK |
| City | TONOPAH |
| State | NV |
| Zip | 89049 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan C Haut | Clinical Social Worker | State of Nevada | 825 S Main, Tonopah Mental Health Center, Tonopah, NV 89049 |
| Lisa M Logan | Physician Assistant | Eastern Sierra Medical Group LLC | 825 S Main St, Tonopah, NV 89049 |
| Gerald W Peterson Jr. | General Practice | Gerald W Peterson Jr Ltd | 119 St Patrick Ln, Tonopah, NV 89049 |
| Carol A Meyer | Nurse Practitioner | Eastern Sierra Medical Group LLC | 825 S Main St, Tonopah, NV 89049 |
| City | TONOPAH |
| Zip Code | 89049 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TONOPAH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Eljena Marie Peterson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.