Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RIO PETERSON, PMHNP
ActivePsychiatric/Mental Health Nurse Practitioner · NEW MEADOWS, ID
Registration Details
- NPI Number
- 1841966819
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2021 (4.7224247641152 yrs)
- Last Updated
- Feb 28, 2024
- License
-
70072 (ID)
Practice Information
- Address
-
4020 GRANITE VIEW ROADNEW MEADOWS, ID, 83654Browse ID providers · Browse ZIP 83654
- Phone
- 2096777747
- Fax
- 8888495240
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
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.