Joni Petersen is a Pediatrics in Riverside, California. Joni Petersen practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Joni Petersen is 1396894762. The last update date is 2007-07-09.
Joni Petersen's current location address is 8038 Laurel Park Cir, Riverside, California. You can contact this provider via phone number 9513601816 and fax number 9513601874. The mailing address for Joni Petersen is 8038 Laurel Park Cir, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joni Petersen |
|---|---|
| Address | 8038 Laurel Park Cir, Riverside, California |
| Phone Number | 9513601816 |
| Fax Number | 9513601874 |
| Sole Proprietor | Y |
| Credentials | R.N. |
NPI Number Detail
| NPI Number | 1396894762 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 8038 Laurel Park Cir |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925094096 |
| Phone Number | 9513601816 |
| Fax Number | 9513601874 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 163Wp0200X |
| Licence No | 430092 |
|
Definition: A registered nurse who cares for infant, child, and adolescent patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| RVN002600 | CA | -- | |
| 430092 | CA | REGISTERED NURSE | |
| EPSO14230 | CA | -- |
Post Comment/ Review Below
What is the Joni Petersen's 1396894762?
The Joni Petersen's NPI (National Provider Identifier) Number is 1396894762. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Joni Petersen?
The Joni Petersen is physically situated at 8038 Laurel Park Cir, in the city of Riverside, state of CA, with the postal code 925094096.
What is Joni Petersen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Joni Petersen's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 163Wp0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1396894762 to Joni Petersen?
The Centers for Medicare & Medicaid Services assigned the 1396894762 to Joni Petersen on 2007-01-08.
When was the Joni Petersen's information last updated?
The Joni Petersen's information was last updated on 2007-07-09.