Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ethan Merrill Petersen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821665936

Ethan Merrill Petersen is a Student in an Organized Health Care Education/Training Program in Torrance, California. Licensed in New Mexico. Registered with an NPI since 2021.

Licensed in
NM
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Torrance, CA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NM)

Record details

NPI number1821665936
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 7, 2021
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025

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