Individual provider · Type 1 NPI

Geneva A. Petersen, CNP

Family Nurse Practitioner · Bloomington, IL

NPI number 1750321667 Active

Practice location

1505 Eastland Dr Ste 2200
Bloomington, IL 61701-7910

Fax (309) 454-6977

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209-004837 (IL)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1750321667

Geneva A. Petersen, CNP's National Provider Identifier is 1750321667, issued on Jun 8, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bloomington, IL. The record was last updated on Dec 15, 2025.