Most Relevant Information
Provider Data
| NPI Number: | 1003050048 |
| Provider Name: | BERNADETTE MARIE PETERSEN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 590833-1 |
Most Important Dates
| Enumeration Date: | 04/21/2009 |
| Last Updated: | 04/21/2009 |
Provider Practice Location
85 SILVER COLT RD
CUTCHOGUE
NY
119351064
Practice Location Phone/Fax
| Phone: | 6317345315 |
| Fax: |
Provider Mailing Location
85 SILVER COLT RD
CUTCHOGUE
NY
119351064
Provider Mailing Phone/Fax
| Phone: | 6317345315 |
| Fax: |