IndividualActive
Tawni Peterson
NPI 1508226226 · Primary Care Nurse Practitioner · Council, ID
Provider details
- NPI number
- 1508226226
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- N-45114 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
205 N Berkley St
Council, ID 83612
Phone: (208) 250-0970
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 560
New Meadows, ID 83654-0560
Registry dates
- Enumerated
- 2016-02-24
- Last updated
- 2017-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.