Individual provider · Type 1 NPI

Haley Petersen

Student in an Organized Health Care Education/Training Program · Upland, CA

NPI number 1295639979 Active

Practice location

919 Deborah St
Upland, CA 91784-1205

Call (909) 244-6634 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1295639979

Haley Petersen's National Provider Identifier is 1295639979, issued on Oct 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Upland, CA. The record was last updated on Oct 6, 2026.