Individual provider · Type 1 NPI
Kaylee Petersen, ARNP
Psychiatric/Mental Health Nurse Practitioner · San Diego, CA
NPI number
1003152364
Active
Practice location
200 W Arbor Dr
San Diego, CA 92103-9000
Fax (888) 539-8781
Mailing address
PO Box 232410
San Diego, CA 92193-2410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60293083 (WA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95018282 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1003152364
Kaylee Petersen, ARNP's National Provider Identifier is 1003152364, issued on Dec 13, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Diego, CA. The record was last updated on Feb 28, 2022.