IndividualActive
John Petersen, NREMT
NPI 1679378616 · Emergency Registered Nurse · Indianapolis, IN
Provider details
- NPI number
- 1679378616
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Credential
- NREMT
- Sex
- Male
- Sole proprietor
- No
- License
- 1224179 (TX)
Specialties & taxonomies
Nursing Service Providers
Emergency Medical Service Providers
Nursing Service Providers
Practice location
720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone: (317) 880-0000
Approximate (ZIP-level) locationGet directions
Mailing address
9500 Fairfax Blvd Apt 2521
Fairfax, VA 22031-2450
Registry dates
- Enumerated
- 2025-02-14
- Last updated
- 2026-02-03
- Certified
- 2026-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.