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NPI 1396147708

IndividualActive

Christopher Petersen, R.N.

NPI 1396147708 · Emergency Registered Nurse · Moodus, CT

Provider details

NPI number: 1396147708
Entity type: Individual
Primary specialty: Emergency Registered NurseNursing Service Providers
Credential: R.N.
Sex: Male
Sole proprietor: No
License: 095813 (CT)

Practice location

28 Leesville Rd

Moodus, CT 06469-1003

Phone: (860) 335-7806

More CT providers

Mailing address

28 Leesville Rd

Moodus, CT 06469-1003

Registry dates

Enumerated: 2014-09-17
Last updated: 2014-09-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Christopher Petersen, R.N. — NPI 1396147708, Moodus, CT | NPI Central