SearchUtahPsychiatric/Mental Health Nurse Practitioner

Riley Petersen, PMHNP

NPI 1700404274 · on the registry since 2020

Practice

Address
1055 N 500 W Bldg A
Provo, UT 84604
Phone
(801) 812-5033
Fax
(801) 812-5034
Organisation at this address
Revere Health Pc
Revere Health Pc
Total Renal Care Inc
Total Renal Care Inc
Central Utah Clinic, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
236

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
363L00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-27

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 Utah