LANA J. PETERSON PMHNP NPI 1972553360

NPI Information

NPI: 1972553360
Provider Name: LANA J. PETERSON, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1041 S LEBARON
MESA, AZ
ZIP 85210
Phone: (480) 788-4628
Get Directions

Lana J. Peterson, PMHNP is a psychiatric/mental health nurse practitioner in Mesa, AZ. Lana J. Peterson, PMHNP NPI is 1972553360. 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:

1041 S LEBARON
MESA, AZ
ZIP 85210-630
Phone: (480) 788-4628
Fax: (866) 812-0853

The NPI 1972553360 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 12/8/2015.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP1740	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	787757	MEDICAID	ARIZONA
2	108799	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA	PSYNP
3	108798	MEDICARE PIN	ARIZONA
4	P90736	MEDICARE UPIN	ARIZONA

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: 4/28/2024

NPI Synchronization or Removal

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