Individual provider · Type 1 NPI

Patti Jo Peterson-Balliet, RN CPNP

Pediatric Nurse Practitioner · Phoenix, AZ

NPI number 1932201795 Active

Practice location

4137 N 108th Ave
Phoenix, AZ 85037-5459

Other practice locations

  • 9059 W Lake Pleasant Pkwy, E-540, Peoria, AZ 85382-8336 · (623) 322-3380

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X20030451 (AZ)
Pediatric Nurse Practitioner Primary 363LP0200XAP3772 (AZ)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1932201795

Patti Jo Peterson-Balliet, RN CPNP's National Provider Identifier is 1932201795, issued on Sep 2, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 12, 2021.