Individual provider · Type 1 NPI
Andria Jo Petersen, NP-C
Psychiatric/Mental Health Nurse Practitioner · Sioux Falls, SD
NPI number
1194280156
Active
Practice location
2400 W 49th St
Sioux Falls, SD 57105-6581
Fax (605) 312-8700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | CP001529 (SD) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | CP001529 (SD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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- Meghan Grace Corr, RN, CNPPsychiatric/Mental Health Nurse Practitioner Sioux Falls, SD NPI 1164310686
About NPI 1194280156
Andria Jo Petersen, NP-C's National Provider Identifier is 1194280156, issued on Feb 4, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Sioux Falls, SD. The record was last updated on Jun 10, 2019.