IndividualActive
Andrea Peterson, CPNP-PC
NPI 1922569698 · Pediatric Nurse Practitioner · Modesto, CA
Provider details
- NPI number
- 1922569698
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-PC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 95020812 (CA)
Mailing address
4120 Prescott Rd # B
Modesto, CA 95356-8418
Registry dates
- Enumerated
- 2019-03-26
- Last updated
- 2023-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.