Riley Wayne Petersen, PMHNP is a psychiatric/mental health nurse practitioner in Provo, UT. Riley Wayne Petersen, PMHNP NPI is 1700404274. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1055 N 500 W BLDG A
PROVO, UT
ZIP 84604-305
Phone: (801) 812-5033
Fax: (801) 812-5034
The NPI 1700404274 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.
The enumeration date for this NPI number is 7/10/2020 and was last updated on 11/27/2023.