Petersen, Ellen
Petersen, Ellen is an sole proprietor health care provider with primary practice located at 1000 Vale Terrace Dr , Vista CA 92084-5218. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Petersen, Ellen can be contacted via phone (760) 631-5000.Contact Information
Primary practice address
1000 Vale Terrace Dr
Vista CA 92084-5218
Phone: (760) 631-5000
Fax: (760) 414-3713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP8141 | California |
Profile Details
| NPI number | 1689771354 |
|---|---|
| LBN Legal business name | Petersen, Ellen |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 17th, 2006 |
| Last updated | Dec 23rd, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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