MIRENA PETROUS RN NPI 1043862105

NPI Information

  • NPI: 1043862105
  • Provider Name: MIRENA PETROUS, RN
  • Classification: Registered Nurse - 163WP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 2001 THE ALAMEDA
    SAN JOSE, CA
    ZIP 95126
  • Phone: (408) 261-7777

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NPI Details

Mirena Petrous, RN is a psychiatric/mental health registered nurse in San Jose, CA. Mirena Petrous, RN NPI is 1043862105. 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:

2001 THE ALAMEDA
SAN JOSE, CA
ZIP 95126-136
Phone: (408) 261-7777
Fax: (408) 259-2273

The enumeration date for this NPI number is 7/9/2019 and was last updated on 7/9/2019.

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
1163WP0808XRegistered NursePsychiatric/Mental Health95159089CALIFORNIAYes

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: 11/21/2025

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