Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andre Peterson

Individual provider Licensed Practical Nurse · NPI 1902569874

Andre Peterson is a Licensed Practical Nurse in Suwanee, Georgia. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

2855 Suwanee Lawrenceville Rd
Suwanee, GA 30024-3563
Phone: (770) 394-9055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 098977 (NY)

Record details

NPI number1902569874
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 18, 2021
Last updated in NPPESOctober 18, 2021
Certification dateOctober 18, 2021
Mailing address2058 Amber Trl, Duluth, GA 30096-4935

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