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Search › California › 363L00000X

Ellen Petersen, NP

NPI 1689771354 · on the registry since 2006 · sole proprietor

Practice

Address
1000 Vale Terrace Dr
Vista, CA 92084
Phone
(760) 631-5000
Fax
(760) 414-3713
Organisation at this address
Vista Community Clinic
Vista Community Clinic
Vista Community Clinic
Vista Community Clinic
Vista Community Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
239

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-12-23

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 California