Janelle D Petersen
Registered Nurse in Fresno, CA. Individual provider (NPI-1).
NPI number1750501680
StatusActive
Last updated in NPPESOct 28, 2011
Details
- NPI
- 1750501680
- Entity type
- Individual (NPI-1)
- Name
- Ms. Janelle D Petersen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2007
- Last updated
- Oct 28, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 569313 | CA | Yes |
Practice location
1221 Fulton MallFresno, CA 93721-1915
Phone 559-600-3229 · Fax 559-445-2772
Mailing address
Po Box 11867Fresno, CA 93775-1867
Phone 559-600-3229 · Fax 559-445-2772
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 518 Registered Nurse providers in Fresno · All 23,426 providers in Fresno
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