Individual provider · Type 1 NPI
Nicky Petersen
Student in an Organized Health Care Education/Training Program · Fernley, NV
NPI number
1760083505
Active
Practice location
646 Canary Cir
Fernley, NV 89408-6501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1760083505
Nicky Petersen's National Provider Identifier is 1760083505, issued on Nov 6, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fernley, NV. The record was last updated on Nov 6, 2020.