MRS. GRETCHEN KELLEY PETERSEN R.N. NPI 1992058614

NPI Information

  • NPI: 1992058614
  • Provider Name: MRS. GRETCHEN KELLEY PETERSEN, R.N.
  • Classification: Registered Nurse - 163WC1500X
  • Specialization: Community Health
  • Entity Type: Individual
  • Address: 225 37TH AVE.
    3RD FLOOR
    SAN MATEO, CA
    ZIP 94403
  • Phone: (415) 710-2297

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NPI Details

MRS. Gretchen Kelley Petersen, R.N. is a community health registered nurse in San Mateo, CA. MRS. Gretchen Kelley Petersen, R.N. NPI is 1992058614. 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:

225 37TH AVE.
3RD FLOOR
SAN MATEO, CA
ZIP 94403
Phone: (415) 710-2297

The enumeration date for this NPI number is 10/18/2012 and was last updated on 10/18/2012.

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
1163WC1500XRegistered NurseCommunity Health663284CALIFORNIAYes

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

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