MR. LARRY L PETERSON (RN) – Addiction (Substance Use Disorder) Registered Nurse, NPI 1124459151

MR. LARRY L PETERSON (RN) is a healthcare provider. based in Springfield, Ohio. specializing in Addiction (Substance Use Disorder) Registered Nurse. They hold the professional credentials RN. They hold a License No. 378059 (OH). The NPI Number for MR. LARRY L PETERSON (RN) is 1124459151

Main info

Male
Name
MR. LARRY L PETERSON (RN)
NPI
1124459151
Phone
(937) 536-7636
Address
1716 SALEM AVE
Enumeration Date
2 December 2013
Last Update Date
2 October 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:12State licenses:2Digital endpointsOther names

Provider Addresses for MR. LARRY L PETERSON (RN)

  • 1716 SALEM AVE

    SPRINGFIELD, OH 455054348

    Phone: (937) 536-7636

    Type: Mailing

  • 601 S EDWIN C MOSES BLVD

    DAYTON, OH 454173424

    Phone: (937) 734-8333

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45505)

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Reviews

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Frequently asked questions

What is the registry number for MR. LARRY L PETERSON (RN)?
The registry entry for MR. LARRY L PETERSON (RN) shows NPI 1124459151.
Is MR. LARRY L PETERSON (RN)'s NPI status active today?
Active status means MR. LARRY L PETERSON (RN)'s NPI record is not deactivated in the public file.
What services align with MR. LARRY L PETERSON (RN)'s listing?
MR. LARRY L PETERSON (RN)'s public classification highlights Addiction (Substance Use Disorder) Registered Nurse. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. LARRY L PETERSON (RN)?
MR. LARRY L PETERSON (RN) shows a connection to Springfield, Ohio in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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