Provider Demographics
NPI:1134934235
Name:PETERS, WILLIAM ANTHONY V
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ANTHONY
Last Name:PETERS
Suffix:V
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 NE 94TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-2729
Mailing Address - Country:US
Mailing Address - Phone:206-475-7676
Mailing Address - Fax:
Practice Address - Street 1:312 NE 94TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-2729
Practice Address - Country:US
Practice Address - Phone:206-475-7676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide