IndividualActive
Idella Peterson, RN
NPI 1568713543 · Registered Nurse · Detroit, MI
Idella Peterson, RN is a Registered Nurse provider in Detroit, MI (NPI 1568713543).
Provider details
- NPI number
- 1568713543
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4704143291 (MI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2925 Russell St
Detroit, MI 48207-4825
Phone: (313) 396-5300
Fax: (313) 396-5353
Street-level locationGet directions
Mailing address
18751 Bainbridge Dr
Southfield, MI 48076-5313
Registry dates
- Enumerated
- 2012-10-01
- Last updated
- 2012-10-01
Frequently asked questions
- What is Idella Peterson's NPI number?
- Idella Peterson's National Provider Identifier (NPI) is 1568713543, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Idella Peterson's specialty?
- Idella Peterson is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Idella Peterson located?
- Idella Peterson's practice location on file with NPPES is 2925 Russell St, Detroit, MI 48207-4825.
- What is Idella Peterson's phone number?
- The practice phone number listed in the NPPES registry for Idella Peterson is (313) 396-5300.
- Is Idella Peterson's NPI active?
- Yes — Idella Peterson's NPI (1568713543) is active in the NPPES registry as of the last update on 2012-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.