Individual
MRS. JONI PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
8038 LAUREL PARK CIR, RIVERSIDE, CA 92509-4096
(951) 360-1816
(951) 360-1874
Mailing address
8038 LAUREL PARK CIR, RIVERSIDE, CA 92509-4096
(951) 360-1816
(951) 360-1874
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
430092
CA
163WC0400X
Case Management Registered Nurse
430092
CA
163WG0000X
General Practice Registered Nurse
Primary
430092
CA
163WH0200X
Home Health Registered Nurse
430092
CA
163WP0200X
Pediatric Registered Nurse
430092
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430092
REGISTERED NURSE
CA
05
—
EPSO14230
—
CA
05
—
RVN002600
—
CA
Enumeration date
01/08/2007
Last updated
09/11/2025
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