IndividualActive
Patti Peterson-Balliet, RN CPNP
NPI 1932201795 · Pediatric Nurse Practitioner · Phoenix, AZ
Provider details
- NPI number
- 1932201795
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- 20030451 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4137 N 108th Ave
Phoenix, AZ 85037-5459
Phone: (623) 772-7842
Street-level locationGet directions
Mailing address
4137 N 108th Ave
Phoenix, AZ 85037-5459
Additional practice locations (1)
- 9059 W Lake Pleasant PkwyE-540Peoria, AZ 85382-8336Phone: (623) 322-3380
Registry dates
- Enumerated
- 2006-09-02
- Last updated
- 2021-07-12
- Certified
- 2021-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.