Peterson-Balliet, Patti Jo

Peterson-Balliet, Patti Jo is an individual health care provider with primary practice located at 4137 N 108Th Ave , Phoenix AZ 85037-5459. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Peterson-Balliet, Patti Jo can be contacted via phone (623) 772-7842.

Contact Information

Primary practice address
4137 N 108Th Ave Phoenix AZ 85037-5459
Phone: (623) 772-7842
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 20030451 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP3772 Arizona

Profile Details

NPI number 1932201795
LBN Legal business name Peterson-Balliet, Patti Jo
Credentials RN CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Jul 12th, 2021 - about 5 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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