Individual provider · Type 1 NPI

Nichole Petterson, FNP

Family Nurse Practitioner · Redmond, OR

NPI number 1619386455 Active

Practice location

1250 SW Veterans Way Ste 120
Redmond, OR 97756-2588

Fax (541) 383-1883

Mailing address

600 SW Columbia St Ste 6250
Bend, OR 97702-1099

Other practice locations

  • 675 Main Street, Middletown, CT 06457 · (860) 347-6971

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X5816 (CT)
Family Nurse Practitioner Primary 363LF0000X202009378NP-PP (OR)

Family Nurse Practitioner: Definition to come...

27 other providers at this address

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About NPI 1619386455

Nichole Petterson, FNP's National Provider Identifier is 1619386455, issued on Aug 6, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Redmond, OR. The record was last updated on Jan 17, 2023.