Provider Demographics
NPI:1538357579
Name:PETERS, CHRISTIANE ALISA (NP)
Entity type:Individual
Prefix:MS
First Name:CHRISTIANE
Middle Name:ALISA
Last Name:PETERS
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:3737 LONE TREE WAY
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-6065
Mailing Address - Country:US
Mailing Address - Phone:925-754-9223
Mailing Address - Fax:925-754-3945
Practice Address - Street 1:3737 LONE TREE WAY
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-6065
Practice Address - Country:US
Practice Address - Phone:925-754-9223
Practice Address - Fax:925-754-3945
Is Sole Proprietor?:No
Enumeration Date:2007-10-03
Last Update Date:2021-12-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA17228363LA2200X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health