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RILEY WAYNE PETERSEN PMHNP
NPI 1700404274
Nurse Practitioner - Psychiatric/Mental Health in Provo, UT

Active since July 10, 2020
1055 N 500 W BLDG A, PROVO, UT 84604(801) 812-5033(801) 812-5034 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Riley Wayne Petersen Pmhnp NPPES

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

RILEY WAYNE PETERSEN PMHNP (NPI 1700404274) is an individual psychiatric/mental health provider in Provo, Utah, licensed in Utah (5202116-4405) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1700404274
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameRILEY WAYNE PETERSENCredential: PMHNP
Location Address1055 N 500 W BLDG AProvo, UT 84604-3305
Mailing Address1055 N 500 W, Attn: CredentialingProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Phone(801) 812-5033
Fax(801) 812-5034
Sole ProprietorNo
Enumeration DateJuly 10, 2020
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedJuly 10, 2020
✔ NPI 1700404274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in UT · 5202116-4405
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5202116-4405 (UT)
1055 N 500 W BLDG A, Provo, UT 84604
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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.

BEVERLY LARAINE WILLIAMS
Social Worker (Clinical)
1055 N 500 W BLDG A
PROVO, UT 84604
Utah County (801) 354-8225
MARIA RUTH HOEGH APRN
Nurse Practitioner (Family)
1055 N 500 W BLDG A
PROVO, UT 84604
Utah County (801) 812-5033
ELIZABETH ANN LARSEN APRN
Nurse Practitioner (Family)
1055 N 500 W BLDG A
PROVO, UT 84604
Utah County (801) 812-5033
AMY LYNN DALTON
Nurse Practitioner
1055 N 500 W BLDG A
PROVO, UT 84604
Utah County (801) 812-5033
CAITLIN BROOK MALLORY FNP
Nurse Practitioner (Family)
1055 N 500 W BLDG A
PROVO, UT 84604
Utah County (801) 812-5033
JASON ALLEN PA
Physician Assistant
1055 N 500 W BLDG A
PROVO, UT 84604
Utah County (801) 812-5033
AUBREE MCKELL EARNEST
Nurse Practitioner (Family)
1055 N 500 W BLDG A
PROVO, UT 84604
Utah County (801) 812-5033
LEAH TOSHINA YOUNG PA-S
Physician Assistant
1055 N 500 W BLDG A
PROVO, UT 84604
Utah County (801) 812-5033

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 Riley Petersen's NPI number?

The NPI number for Riley Petersen is 1700404274. It was assigned to this individual provider in the NPPES registry on July 10, 2020.

Where is Riley Petersen located?

Riley Petersen practices at 1055 N 500 W Bldg A, Provo, UT 84604. The listed phone number is (801) 812-5033.

What is Riley 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 Riley Petersen was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.