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Riley Wayne Petersen, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Provo, Utah
NPI 1700404274

Riley Wayne Petersen is a Psychiatric/Mental Health Nurse Practitioner based in Provo, UT and is specialized in Psychiatric/Mental Health. Riley Wayne Petersen practices in Provo, UT and has the professional credentials of PMHNP. The NPI Number for Riley Wayne Petersen is 1700404274 and holds a License No. 5202116-4405 (Utah).

The current practice location address for Riley Wayne Petersen is 1055 N 500 W Bldg A, Provo, UT and can be reached out via phone at 801-812-5033 and via fax at 801-812-5034.

Location: 1055 N 500 W Bldg A, Provo, UT, 84604-3305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700404274
Provider Name
Riley Wayne Petersen
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
1055 N 500 W Bldg A, Provo, UT, 84604-3305
Phone Number
801-812-5033
Fax Number
801-812-5034
Provider Enumeration Date
07/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1055 N 500 W Bldg A
City
Provo
State
Utah
Zip
84604-3305
Phone Number
801-812-5033
Fax Number
801-812-5034
person
Provider Business Mailing Address Details
Address
1055 N 500 W Bldg A
City
Provo
State
Utah
Zip
84604-3305
Phone Number
801-812-5033
Fax Number
801-812-5034
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5202116-4405 (Utah)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
5202116-4405 (Utah)
Definition
Definition to come...
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