Petersen, Joni

Petersen, Joni is an sole proprietor health care provider with primary practice located at 8038 Laurel Park Cir , Riverside CA 92509-4096. She recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Case Management, Nursing Service Providers / General Practice, Nursing Service Providers / Home Health, Nursing Service Providers / Pediatrics. Nursing Service Providers / Registered Nurse is her primary health care specialty. Petersen, Joni can be contacted via phone (951) 360-1816.

Contact Information

Primary practice address
8038 Laurel Park Cir Riverside CA 92509-4096
Phone: (951) 360-1816
Fax: (951) 360-1874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 430092 California
Nursing Service Providers / Case Management 163WC0400X 430092 California
Nursing Service Providers / General Practice 163WG0000X 430092 California
Nursing Service Providers / Home Health 163WH0200X 430092 California
Nursing Service Providers / Pediatrics 163WP0200X 430092 California

Profile Details

NPI number 1396894762
LBN Legal business name Petersen, Joni
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396894762 NPPES
California MEDICAID RVN002600
California Other 430092
California MEDICAID EPSO14230

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