Mariah Petersen, APP

Individual Active
NPI 1336938752
Primary Care Nurse Practitioner Coeur D Alene, ID

Mariah Petersen, APP holds NPI 1336938752, with a primary taxonomy of primary care nurse practitioner and a practice location in Coeur D Alene, ID. The number was issued on May 2, 2025 and the NPPES record was last updated on May 2, 2025. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X 8771254 (ID)

Practice locations

1919 Lincoln Way Ste 415
Coeur D Alene, ID 83814-2527
Phone: (208) 625-4595
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone: (208) 625-4595

Local context

Active NPPES records list 18 providers with primary care nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 9 of them within 10 miles.

The same primary taxonomy is listed by 82 in Idaho and 13,165 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mariah Petersen
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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