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

Trey M Peterson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770455511

Trey M Peterson is a Student in an Organized Health Care Education/Training Program in Manchester, Connecticut. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

465 Buckland Hills Dr Apt 22232
Manchester, CT 06042-9103
Phone: (469) 215-0712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1770455511
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 22, 2025
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025
Mailing address465 Buckland Hills Dr Apt 22232, Manchester, CT 06042-9103

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