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

Kimberley Michelle Petersen, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1508000878

Kimberley Michelle Petersen, NP is a Psychiatric/Mental Health Nurse Practitioner in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2009.

Licensed in
MT
In the registry since
2009
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

634 Eddy Ave
Missoula, MT 59812-6601
Phone: (406) 243-2122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 100360 (MT)

Record details

NPI number1508000878
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 29, 2009
Last updated in NPPESJuly 21, 2022
Certification dateJuly 21, 2022

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