Mary E Peterson, NP

Nurse practitioner in Tyler, Texas · NPI 1174791115

Mary Peterson is one of 637 nurse practitioners practicing in Tyler, Texas. Mary Peterson practices with University Of Texas Health Science Center At Tyler-Facilty-Physician.

Registry record (NPPES)

NPI
1174791115
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner · 363L00000X
Address on file
901 W Ben White Blvd
Austin, TX 78704-6903
(512) 816-8611
Enumerated
Feb 12, 2008
Record last updated
Dec 13, 2016
License states listed
AZ

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Nurse Practitioner
Revalidation due
No date set by CMS

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Practice locations

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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.