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

MS. Ganielle Marva Peterson, ASSISTEDLIVINGADMN

Individual provider Nursing Home Administrator · NPI 1285241489

MS. Ganielle Marva Peterson, ASSISTEDLIVINGADMN is a Nursing Home Administrator in Port St Lucie, Florida. Licensed in Florida. Registered with an NPI since 2020.

Licensed in
FL
In the registry since
2020

Practice location Address checks out

2773 SE Clareton Ter
Port St Lucie, FL 34952-6621
Phone: (954) 657-1812
Show map & directions

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

Specialties & licences

Nursing Home Administrator (primary) Taxonomy 376G00000X (FL)

Record details

NPI number1285241489
Entity typeIndividual (Type 1)
GenderFemale
Credentials ASSISTEDLIVINGADMN
Sole proprietorNo
NPI enumeratedSeptember 30, 2020
Last updated in NPPESSeptember 30, 2020
Certification dateSeptember 30, 2020

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