Search › Idaho › Primary Care Nurse Practitioner
Mariah Petersen, APP
NPI 1336938752 · on the registry since 2025
Practice
- Address
- 1919 Lincoln Way Ste 415
Coeur D Alene, ID 83814 - Phone
- (208) 625-4595
- Clinicians at this address
- 63
Additional practice sites
- 2003 Kootenai Health Way, Coeur D Alene, ID
Registry record
- Primary taxonomy
- Primary Care Nurse Practitioner
363LP2300X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho