Individual provider · Type 1 NPI

Mariah Petersen, APP

Primary Care Nurse Practitioner · Coeur D Alene, ID

NPI number 1336938752 Active

Practice location

1919 Lincoln Way Ste 415
Coeur D Alene, ID 83814-2527

Call (208) 625-4595 Map

Mailing address

6225 N Cornwall St
Coeur D Alene, ID 83815-5084

Other practice locations

  • 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 · (208) 625-4595

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X8771254 (ID)

Primary Care Nurse Practitioner: Definition to come...

11 other providers at this address

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About NPI 1336938752

Mariah Petersen, APP's National Provider Identifier is 1336938752, issued on May 2, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Coeur D Alene, ID. The record was last updated on May 2, 2025.