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KIMBERLEY MICHELLE PETERSEN NP
NPI 1508000878
Nurse Practitioner - Psychiatric/Mental Health in Missoula, MT

Active since April 29, 2009
634 EDDY AVE, MISSOULA, MT 59812(406) 243-2122 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, May 31, 2017 (2 updates tracked since 2017).

About Kimberley Michelle Petersen Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLEY MICHELLE PETERSEN NP (NPI 1508000878) is an individual psychiatric/mental health provider in Missoula, Montana, licensed in Montana (100360) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1508000878
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKIMBERLEY MICHELLE PETERSENCredential: NP
Location Address634 EDDY AVEMissoula, MT 59812-6601
Mailing Address2070 Cooper St Apt 111Missoula, MT 59808-2036 · (406) 396-1019
Phone(406) 243-2122
Sole ProprietorNo
Enumeration DateApril 29, 2009
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPPES CertifiedJuly 21, 2022
✔ NPI 1508000878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MT · 100360
634 EDDY AVE, Missoula, MT 59812
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DREW COLLING
Counselor (Professional)
634 EDDY AVE
MISSOULA, MT 59812
Missoula County (406) 243-5244
MS. GINA CAROL DIGIUSTO RN
Registered Nurse (Administrator)
634 EDDY AVE
MISSOULA, MT 59812
Missoula County (406) 243-2790
ASHLEY DOROTHY SLOCUM MASTER'S STUDENT
Student in an Organized Health Care Education/Training Program
634 EDDY AVE
MISSOULA, MT 59812
Missoula County (406) 243-2290
MS. SHANNON DUNLAP KING RN
Registered Nurse (College Health)
634 EDDY AVE
MISSOULA, MT 59812
Missoula County (406) 243-4330
MR. KENNETH CHATRIAND PHARM.D.
Pharmacist
634 EDDY AVE
MISSOULA, MT 59812
Missoula County (406) 243-5171
KAYE M SANKEY RN-C
Registered Nurse (College Health)
634 EDDY AVE
MISSOULA, MT 59812
Missoula County (406) 243-2122
ANNEMARIE MCCORMACK RN
Registered Nurse (College Health)
634 EDDY AVE
MISSOULA, MT 59812
Missoula County (406) 243-4330
MRS. MARY ELIZABETH SHEETS R.N.
Registered Nurse
634 EDDY AVE
MISSOULA, MT 59812
Missoula County (406) 243-4330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberley Petersen's NPI number?

The NPI number for Kimberley Petersen is 1508000878. It was assigned to this individual provider in the NPPES registry on April 29, 2009.

Where is Kimberley Petersen located?

Kimberley Petersen practices at 634 Eddy Ave, Missoula, MT 59812. The listed phone number is (406) 243-2122.

What is Kimberley Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kimberley Petersen was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.