Individual provider · Type 1 NPI
Mia Van Peenen, FNP BC
Nurse Practitioner · La Jolla, CA
Practice location
10710 N Torrey Pines Rd
La Jolla, CA 92037-1035
Mailing address
10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95036798 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1154282291
Mia Van Peenen, FNP BC's National Provider Identifier is 1154282291, issued on Nov 19, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in La Jolla, CA. The record was last updated on Dec 23, 2025.