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Individual

MRS. JONI PETERSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

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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