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

Mr. Larry L Peterson, RN

Individual provider Registered Nurse · NPI 1124459151

Mr. Larry L Peterson, RN is a Registered Nurse in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2013.

Licensed in
OH
In the registry since
2013
Specialties on file
4
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

601 S Edwin C Moses Blvd
Dayton, OH 45417-3424
Phone: (937) 734-8333
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Registered Nurse (primary) Taxonomy 163WA0400X · Licence RN.378059 (OH)
Registered Nurse Taxonomy 163W00000X · Licence 378059 (OH)
Home Health Registered Nurse Taxonomy 163WH0200X · Licence 378059 (OH)
Adult Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0809X · Licence 378059 (OH)

Record details

NPI number1124459151
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedDecember 2, 2013
Last updated in NPPESOctober 2, 2019
Mailing address1716 Salem Ave, Springfield, OH 45505-4348

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