Provider Demographics
NPI:1952395071
Name:PETERSON, MARGARET EMILY (RNFA)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:EMILY
Last Name:PETERSON
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:FABBRI-PETERSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RNFA
Mailing Address - Street 1:438 RIVIERA CIR
Mailing Address - Street 2:
Mailing Address - City:LARKSPUR
Mailing Address - State:CA
Mailing Address - Zip Code:94939-1510
Mailing Address - Country:US
Mailing Address - Phone:415-927-8848
Mailing Address - Fax:415-927-8858
Practice Address - Street 1:438 RIVIERA CIR
Practice Address - Street 2:
Practice Address - City:LARKSPUR
Practice Address - State:CA
Practice Address - Zip Code:94939-1510
Practice Address - Country:US
Practice Address - Phone:415-927-8848
Practice Address - Fax:415-927-8858
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA336570163WX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0800XNursing Service ProvidersRegistered NurseOrthopedic