IndividualActive
Emily Petersen, MD
NPI 1750414447 · Nephrology Physician · Coeur D Alene, ID
Provider details
- NPI number
- 1750414447
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 6027146-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
700 W Ironwood Dr Ste 375
Coeur D Alene, ID 83814-4401
Phone: (208) 625-6100
Approximate (ZIP-level) locationGet directions
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Registry dates
- Enumerated
- 2007-03-13
- Last updated
- 2025-07-22
- Certified
- 2025-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.