Stacy Anne Petersen, FNP-C
NPI #1144719527 in Costa Mesa, California
Provider Information
- NPI Number
- 1144719527
- Entity Type
- Individual
- Name
- Stacy Anne Petersen, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-C
- Enumeration Date
- May 1, 2018
- Last Updated
- Feb 26, 2025
Practice Location
- Address
- 700 W 19TH ST
- City
- Costa Mesa
- State
- California
- ZIP Code
- 92627-3517
- Phone
- (949) 645-4646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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