DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RILEY WAYNE PETERSEN, PMHNP

Active

RILEY WAYNE PETERSEN, PMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in PROVO, Utah. NPI 1700404274 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health Nurse Practitioner · PROVO, UT

Registration Details

NPI Number
1700404274
Provider Type
Individual
Gender
Male
NPI Issued
Jul 10, 2020 (6.0548006414906 yrs)
Last Updated
Nov 27, 2023
Licenses
5202116-4405 (UT)
5202116-4405 (UT)

Practice Information

Address
1055 N 500 W BLDG A
PROVO, UT, 846043305
Browse UT providers · Browse ZIP 84604
Phone
8018125033
Fax
8018125034

Other Psychiatric/Mental Health Nurse Practitioner Providers in PROVO, UT

Name Credential NPI
WAYNE R HEATON APRN 1083623862
LESLIE WILDEN MILES APRN 1912005240
DALLAS LANE EARNSHAW APRN, CNS, BC 1780777649
MR. THOMAS OIL YEE JR. APRN 1659456754
MICHELLE MARIE MCNEW NP 1700963295
WENDY A JOHNSON APRN 1245422617
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.