Individual provider · Type 1 NPI

Wendy Renee Petersen, SUDPT

Student in an Organized Health Care Education/Training Program · Seattle, WA

NPI number 1932037868 Active

Practice location

701 N 36th St Ste 300
Seattle, WA 98103-8868

Call (206) 216-5000 Map

Fax (206) 216-5002

Mailing address

1808 1st Ave W
Seattle, WA 98119-3006

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XCO70064878 (WA)

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.

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About NPI 1932037868

Wendy Renee Petersen, SUDPT's National Provider Identifier is 1932037868, issued on May 11, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Seattle, WA. The record was last updated on May 11, 2026.