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

Desiree Elisabeth Peterson, CPNP-AC

Individual provider Pediatric Nurse Practitioner · NPI 1730844960

Desiree Elisabeth Peterson, CPNP-AC is a Pediatric Nurse Practitioner in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1401 W Pulaski St
Fort Worth, TX 76104-2717
Phone: (682) 885-8012
Fax: (682) 885-8014
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1056679 (TX)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 1056679 (TX)

Record details

NPI number1730844960
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-AC
Sole proprietorNo
NPI enumeratedNovember 2, 2021
Last updated in NPPESJune 17, 2022
Certification dateJune 17, 2022

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