Individual
PETIA J IVANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FPMHNP
Contact information
Practice address
3401 BERRYWOOD DR, COLUMBIA, MO 65201-8372
(573) 777-8330
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5214
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2007031329
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023023158
MO
Other
Enumeration date
06/21/2023
Last updated
07/09/2025
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