Petersen Ventura, Nyssa
Petersen Ventura, Nyssa is an individual health care provider with primary practice located at 504 Orondo Ave , Wenatchee WA 98801-2830. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Petersen Ventura, Nyssa can be contacted via phone (509) 884-9047.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY60719603 | Washington |
Profile Details
| NPI number | 1568870046 |
|---|---|
| LBN Legal business name | Petersen Ventura, Nyssa |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2014 |
| Last updated | Jun 29th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568870046 | NPPES |
| Washington | MEDICAID | 2038116 |
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