Individual provider · Type 1 NPI

Katherine Lee Petkovich, DNP, RN, CPNP-PC

Pediatric Nurse Practitioner · Mesa, AZ

NPI number 1841968898 Active

Practice location

2017 E Adobe St
Mesa, AZ 85213-6740

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN215094 (AZ)
Pediatric Nurse Practitioner Primary 363LP0200X323837 (AZ)

Pediatric Nurse Practitioner: Definition to come...

9 other providers at this address

Other pediatric nurse practitioner providers in Mesa

See all in Mesa →

About NPI 1841968898

Katherine Lee Petkovich, DNP, RN, CPNP-PC's National Provider Identifier is 1841968898, issued on Sep 3, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Mesa, AZ. The record was last updated on Jun 2, 2025.