Most Relevant Information
Provider Data
| NPI Number: | 1003658261 |
| Provider Name: | CARLEE PETERSON FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 354373 |
Most Important Dates
| Enumeration Date: | 06/10/2024 |
| Last Updated: | 06/10/2024 |
Provider Practice Location
169 RIVERSIDE DR
BINGHAMTON
NY
139054246
Practice Location Phone/Fax
| Phone: | 6077986166 |
| Fax: |
Provider Mailing Location
1 GUTHRIE SQ
SAYRE
PA
188401625
Provider Mailing Phone/Fax
| Phone: | 5708885858 |
| Fax: |