NICKY PETERSEN
NPI 1760083505
Student in an Organized Health Care Education/Training Program in Fernley, NV

Q: What is Nicky Petersen's NPI number?

The NPI number for Nicky Petersen is 1760083505. It was assigned to this individual provider in the NPPES registry on November 6, 2020.

Q: What is Nicky Petersen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nicky Petersen was last updated on November 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 06, 2020

646 CANARY CIR, FERNLEY, NV 89408(775) 722-5985 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicky Petersen NPPES

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

NICKY PETERSEN (NPI 1760083505) is an individual student in an organized health care education/training program in Fernley, Nevada and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1760083505

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNICKY PETERSEN

Location Address646 CANARY CIRFernley, NV 89408-6501

Mailing Address646 Canary CirFernley, NV 89408-6501 · (775) 722-5985

Phone(775) 722-5985

Sole ProprietorNo

Enumeration DateNovember 6, 2020

NPPES CertifiedNovember 6, 2020

✔ NPI 1760083505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

646 CANARY CIR, Fernley, NV 89408

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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 Nicky Petersen's NPI number?

The NPI number for Nicky Petersen is 1760083505. It was assigned to this individual provider in the NPPES registry on November 6, 2020.

Where is Nicky Petersen located?

Nicky Petersen practices at 646 Canary Cir, Fernley, NV 89408. The listed phone number is (775) 722-5985.

What is Nicky Petersen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nicky Petersen was last updated on November 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.