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

Riley Wayne Petersen, PMHNP

Individual provider Nurse Practitioner · NPI 1700404274

Riley Wayne Petersen, PMHNP is a Nurse Practitioner in Provo, Utah. Licensed in Utah. Registered with an NPI since 2020.

Licensed in
UT
In the registry since
2020
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

1055 N 500 W Bldg A
Provo, UT 84604-3305
Phone: (801) 812-5033
Fax: (801) 812-5034
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 5202116-4405 (UT)
Nurse Practitioner Taxonomy 363L00000X · Licence 5202116-4405 (UT)

Record details

NPI number1700404274
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJuly 10, 2020
Last updated in NPPESNovember 27, 2023
Certification dateJuly 10, 2020

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