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

Mrs. Idella Peterson, RN

Individual provider Registered Nurse · NPI 1568713543

Mrs. Idella Peterson, RN is a Registered Nurse in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2012
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

2925 Russell St
Detroit, MI 48207-4825
Phone: (313) 396-5300
Fax: (313) 396-5353
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704143291 (MI)

Record details

NPI number1568713543
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedOctober 1, 2012
Last updated in NPPESOctober 1, 2012

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