Individual provider · Type 1 NPI

Riley Wayne Petersen, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Provo, UT

NPI number 1700404274 Active

Practice location

1055 N 500 W Bldg A
Provo, UT 84604-3305

Call (801) 812-5033 Map

Fax (801) 812-5034

Mailing address

1055 N 500 W, Attn: Credentialing
Provo, UT 84604-3305

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X5202116-4405 (UT)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X5202116-4405 (UT)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

34 other providers at this address

Other psychiatric/mental health nurse practitioner providers in Provo

See all in Provo →

About NPI 1700404274

Riley Wayne Petersen, PMHNP's National Provider Identifier is 1700404274, issued on Jul 10, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Provo, UT. The record was last updated on Nov 27, 2023.