Individual provider · Type 1 NPI
Noelle Peterson
Nurse Practitioner · Phoenix, AZ
Practice location
3601 E Indian School Rd Ste E
Phoenix, AZ 85018-5126
Mailing address
4539 N 22nd St # 6379
Phoenix, AZ 85016-4639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 259081 (AZ) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1639084304
Noelle Peterson's National Provider Identifier is 1639084304, issued on Aug 17, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 17, 2026.