Individual provider · Type 1 NPI
Ellen Petersen, NP
Nurse Practitioner · Vista, CA
Practice location
1000 Vale Terrace Dr
Vista, CA 92084-5218
Fax (760) 414-3713
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | NP8141 (CA) |
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 1689771354
Ellen Petersen, NP's National Provider Identifier is 1689771354, issued on Sep 17, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Vista, CA. The record was last updated on Dec 23, 2010.