Riley Wayne Petersen
PMHNP | Nurse Practitioner
1055 N 500 W Bldg A, Provo
Utah, 84604-3305
801-812-5033
Riley Wayne Petersen is a Provo, Utah based nurse practitioner. Active license number of Riley Wayne Petersen is 5202116-4405 for Psych/Mental Health in Utah. His current practice location is 1055 N 500 W Bldg A, Provo. Patients can reach him at 801-812-5033 or can fax him at 801-812-5034. Riley Wayne Petersen is PMHNP and his NPI number (Unique professional ID assigned by NPPES) is 1700404274.
Riley Wayne Petersen 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:
Riley Wayne Petersen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Riley Wayne Petersen |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | PMHNP |
| Practice Address: | 1055 N 500 W Bldg A, Provo,
Utah, 84604-3305 |
| Phone: | 801-812-5033 |
| Fax: | 801-812-5034 |
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: | 1700404274 |
| NPI Enumeration Date: | 10 Jul, 2020 |
| NPI Last Update On: | 27 Nov, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Riley Wayne Petersen are as mentioned below.
| License Number | Specialization | State | Status | |
| 5202116-4405 | Psych/Mental Health | Utah | Primary | |
| 5202116-4405 | Nurse Practitioner | Utah | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Riley Wayne Petersen
1055 N 500 W, Attn: Credentialing
Provo, Utah |
| Zip: | 84604-3305 |
| Phone Number: | 801-354-8225 |
| Fax Number: | 801-418-0941 |
Patients can reach Riley Wayne Petersen at
1055 N 500 W Bldg A, Provo, Utah or can
call to book an appointment on 801-812-5033.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.