IndividualActive
Ellen Peterson, CNS
NPI 1649468406 · Clinical Nurse Specialist · Austin, TX
Provider details
- NPI number
- 1649468406
- Entity type
- Individual
- Primary specialty
- Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNS
- Sex
- Female
- Sole proprietor
- No
- License
- 2007004651 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6500 North Mopac Expressway
Building 3, Suite 200
Austin, TX 78731
Phone: (512) 458-8400
Fax: (512) 458-8593
Approximate (ZIP-level) locationGet directions
Mailing address
6500 North Mopac Expressway
Austin, TX 78731
Registry dates
- Enumerated
- 2007-10-05
- Last updated
- 2015-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.