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

MS. Patti Jo Peterson-Balliet, RNCPNP

Individual provider Pediatric Nurse Practitioner · NPI 1932201795

MS. Patti Jo Peterson-Balliet, RNCPNP is a Pediatric Nurse Practitioner in Phoenix, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2006
Specialties on file
2

Practice location Address checks out

4137 N 108th Ave
Phoenix, AZ 85037-5459
Phone: (623) 772-7842
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9059 W Lake Pleasant Pkwy, Peoria, AZ 85382-8336 — (623) 322-3380

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence AP3772 (AZ)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 20030451 (AZ)

Record details

NPI number1932201795
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNCPNP
Sole proprietorNo
NPI enumeratedSeptember 2, 2006
Last updated in NPPESJuly 12, 2021
Certification dateJuly 12, 2021

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