Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellen Petersen, NP

Individual provider Nurse Practitioner · NPI 1689771354

Ellen Petersen, NP is a Nurse Practitioner in Vista, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1000 Vale Terrace Dr
Vista, CA 92084-5218
Phone: (760) 631-5000
Fax: (760) 414-3713
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP8141 (CA)

Record details

NPI number1689771354
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedSeptember 17, 2006
Last updated in NPPESDecember 23, 2010
Mailing address1000 Vale Terrace Dr, Vista, CA 92084-5218

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