MS. CYNTHIA DENISE PETERSEN NPI 1619028578

NPI Information

  • NPI: 1619028578
  • Provider Name: MS. CYNTHIA DENISE PETERSEN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 415 S 25TH ST
    OMAHA, NE
    ZIP 68131
  • Phone: (402) 717-4673

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NPI Details

MS. Cynthia Denise Petersen is a psychiatric/mental health nurse practitioner in Omaha, NE. MS. Cynthia Denise Petersen NPI is 1619028578. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

415 S 25TH ST
OMAHA, NE
ZIP 68131-654
Phone: (402) 717-4673

The enumeration date for this NPI number is 1/16/2007 and was last updated on 4/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse46338NEBRASKANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health110796NEBRASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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