Ellen Tanner Peterson
RN, CPNP, MSN | Nurse Practitioner - Pediatrics
280 W Macarthur Blvd, Oakland
California, 94611-5642
510-752-6779
Ellen Tanner Peterson is a Oakland, California based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Ellen Tanner Peterson is 333228 for Pediatrics in California. Her current practice location is 280 W Macarthur Blvd, Oakland. Patients can reach her at 510-752-6779 or can fax her at 510-752-7836. Ellen Tanner Peterson is RN, CPNP, MSN with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1295883742.
Ellen Tanner Peterson specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Ellen Tanner Peterson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ellen Tanner Peterson |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | RN, CPNP, MSN |
| Practice Address: | 280 W Macarthur Blvd, Oakland,
California, 94611-5642 |
| Phone: | 510-752-6779 |
| Fax: | 510-752-7836 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1295883742 |
| NPI Enumeration Date: | 08 Jan, 2007 |
| NPI Last Update On: | 03 Jan, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ellen Tanner Peterson are as mentioned below.
| License Number | Specialization | State | Status | |
| 333228 | Pediatrics | California | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ellen Tanner Peterson
15 Harte Ave,
San Rafael, California |
| Zip: | 94901-5221 |
| Phone Number: | 415-485-0783 |
Patients can reach Ellen Tanner Peterson at
280 W Macarthur Blvd, Oakland, California or can
call to book an appointment on 510-752-6779.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.