ELLEN TANNER PETERSON

OAKLAND, CA
NPI1295883742
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA  333228)
Enumeration Date2007-01-08
Last Update Date2022-01-03
Business Address
-- ELLEN TANNER PETERSON RN, CPNP, MSN
280 W MACARTHUR BLVD
OAKLAND, CA 94611-5642
Phone number: 510-752-6779
Mailing Address
-- ELLEN TANNER PETERSON RN, CPNP, MSN
15 HARTE AVE
SAN RAFAEL, CA 94901-5221
Phone number: 415-485-0783
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