Petia J Ivanoff

MSN, FPMHNP | Nurse Practitioner

3401 Berrywood Dr, Columbia
  Missouri, 65201-8372
573-777-8330
May or may not accept Medicare Nurse Anesthetist in Columbia, Missouri.
Petia J Ivanoff is a Columbia, Missouri based nurse practitioner. Active license number of Petia J Ivanoff is 2023023158 for Psych/Mental Health in Missouri. Her current practice location is 3401 Berrywood Dr, Columbia. Patients can reach her at 573-777-8330. Petia J Ivanoff is MSN, FPMHNP and her NPI number (Unique professional ID assigned by NPPES) is 1942985411.
Petia J Ivanoff has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Petia J Ivanoff speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Petia J Ivanoff
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: MSN, FPMHNP
Practice Address:3401 Berrywood Dr, Columbia,
Missouri, 65201-8372
Phone:573-777-8330
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1942985411
NPI Enumeration Date: 21 Jun, 2023
NPI Last Update On: 09 Jul, 2025

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Petia J Ivanoff are as mentioned below.
License NumberSpecializationStateStatus
2023023158Psych/Mental Health MissouriPrimary
2007031329Registered Nurse MissouriSecondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Petia J Ivanoff
2885 W Battlefield St,
Springfield, Missouri
Zip: 65807-3952
Phone Number: 417-761-5214
Fax Number: 417-761-5065
Patients can reach Petia J Ivanoff at 3401 Berrywood Dr, Columbia, Missouri or can call to book an appointment on 573-777-8330.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.