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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760083505

Nicky Petersen is a Student in an Organized Health Care Education/Training Program in Fernley, Nevada. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

646 Canary Cir
Fernley, NV 89408-6501
Phone: (775) 722-5985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1760083505
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 6, 2020
Last updated in NPPESNovember 6, 2020
Certification dateNovember 6, 2020
Mailing address646 Canary Cir, Fernley, NV 89408-6501

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