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

Andrea Marie Peterson, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1922569698

Andrea Marie Peterson, CPNP-PC is a Pediatric Nurse Practitioner in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

4120 Prescott Rd # B
Modesto, CA 95356-8418
Phone: (209) 544-7300
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 95020812 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence 789792 (CA)

Record details

NPI number1922569698
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorYes
NPI enumeratedMarch 26, 2019
Last updated in NPPESFebruary 13, 2023
Certification dateMay 2, 2022

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