IndividualActive
Leslieann Peterson
NPI 1194035899 · Home Health Registered Nurse · Newark, NJ
Provider details
- NPI number
- 1194035899
- Entity type
- Individual
- Primary specialty
- Home Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 613612 (NY)
Practice location
544 Broadway
Newark, NJ 07104
Phone: (973) 318-8316
Fax: (973) 318-8317
Mailing address
Po Box 9506
Newark, NJ 07104-0506
Registry dates
- Enumerated
- 2010-10-14
- Last updated
- 2021-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.