Individual provider · Type 1 NPI

Gretchen Kelley Petersen, R.N.

Community Health Registered Nurse · San Mateo, CA

NPI number 1992058614 Active

Practice location

225 37th Ave., 3rd Floor
San Mateo, CA 94403

Call (415) 710-2297 Map

Mailing address

225 37th Avenue, 3rd Floor
San Mateo, CA 94403

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse Primary 163WC1500X663284 (CA)

Community Health Registered Nurse: Definition to come...

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About NPI 1992058614

Gretchen Kelley Petersen, R.N.'s National Provider Identifier is 1992058614, issued on Oct 18, 2012. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in San Mateo, CA. The record was last updated on Oct 18, 2012.