Provider Demographics
NPI:1760791107
Name:PETERSON, AMIE NICHOLE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:AMIE
Middle Name:NICHOLE
Last Name:PETERSON
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Gender:F
Credentials:ARNP
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Mailing Address - Street 1:SC HOUSE CALLS INC.
Mailing Address - Street 2:111 DOCTORS CIR.
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203
Mailing Address - Country:US
Mailing Address - Phone:800-491-0909
Mailing Address - Fax:239-424-1421
Practice Address - Street 1:YOUR HEALTH ORG. OF FLORIDA
Practice Address - Street 2:1301 PLANTATION ISLAND DR. UNIT 303B
Practice Address - City:ST. AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32080
Practice Address - Country:US
Practice Address - Phone:800-491-0909
Practice Address - Fax:239-343-9218
Is Sole Proprietor?:No
Enumeration Date:2010-10-04
Last Update Date:2025-08-11
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Provider Licenses
StateLicense IDTaxonomies
FL2629902363LC0200X
FLAPRN2629902363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine