Individual provider · Type 1 NPI
Kimberley Michelle Petersen, NP
Psychiatric/Mental Health Nurse Practitioner · Missoula, MT
NPI number
1508000878
Active
Practice location
634 Eddy Ave
Missoula, MT 59812-6601
Mailing address
2070 Cooper St Apt 111
Missoula, MT 59808-2036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 100360 (MT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1508000878
Kimberley Michelle Petersen, NP's National Provider Identifier is 1508000878, issued on Apr 29, 2009. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Missoula, MT. The record was last updated on Jul 21, 2022.