NIKOBI PETRONELLI NPI 1508483223

NPI Information

NPI: 1508483223
Provider Name: NIKOBI PETRONELLI
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
11073 SE MAIN ST
MILWAUKIE, OR
ZIP 97222
Phone: (541) 214-7680
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Nikobi Petronelli is a peer specialist in Milwaukie, OR. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Nikobi Petronelli NPI is 1508483223. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11073 SE MAIN ST
MILWAUKIE, OR
ZIP 97222-645
Phone: (541) 214-7680

The enumeration date for this NPI number is 6/29/2020 and was last updated on 6/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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