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

Mr. Larry L Peterson, RN

Individual provider Registered Nurse · NPI 1124459151

Mr. Larry L Peterson, RN is a Registered Nurse in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2013.

Licensed in
OH
In the registry since
2013
Specialties on file
4
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

601 S Edwin C Moses Blvd
Dayton, OH 45417-3424
Phone: (937) 734-8333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Registered Nurse (primary) Taxonomy 163WA0400X · Licence RN.378059 (OH)
Registered Nurse Taxonomy 163W00000X · Licence 378059 (OH)
Home Health Registered Nurse Taxonomy 163WH0200X · Licence 378059 (OH)
Adult Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0809X · Licence 378059 (OH)

Record details

NPI number1124459151
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedDecember 2, 2013
Last updated in NPPESOctober 2, 2019

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