Provider Demographics
NPI:1992588511
Name:PETERS, MARIA ESPERANZA (RN, BSN, IBCLC)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ESPERANZA
Last Name:PETERS
Suffix:
Gender:F
Credentials:RN, BSN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1023 FERGUSON DR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-9041
Mailing Address - Country:US
Mailing Address - Phone:956-245-1371
Mailing Address - Fax:
Practice Address - Street 1:1023 FERGUSON DR
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-9041
Practice Address - Country:US
Practice Address - Phone:956-245-1371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX745895163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty