Mirena Petrous, RN - Registered Nurse in San Jose, CA

Mirena Petrous, RN is a Registered Nurse - Psychiatric/mental Health based in San Jose, California. Mirena Petrous is licensed to practice in California (license number 95159089) and her current practice location is 2001 The Alameda, San Jose, California. She can be reached at her office (for appointments etc.) via phone at (408) 261-7777.

NPI number for Mirena Petrous is 1043862105 and her current mailing address is 4201 Suzanne Dr, Palo Alto, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043862105.

Contact Information

Mirena Petrous, RN
2001 The Alameda,
San Jose, CA 95126-1136
(408) 261-7777
(408) 259-2273

Map and Direction




Provider's Profile

Full NameMirena Petrous
GenderFemale
SpecialityRegistered Nurse - Psychiatric/mental Health
Location2001 The Alameda, San Jose, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043862105
  • Provider Enumeration Date: 07/09/2019
  • Last Update Date: 07/09/2019

Medical Identifiers

Medical identifiers for Mirena Petrous such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043862105NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health 95159089 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mirena Petrous is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mirena Petrous, RN
4201 Suzanne Dr,
Palo Alto, CA 94306-4336

Ph: (917) 494-7477
Mirena Petrous, RN
2001 The Alameda,
San Jose, CA 95126-1136

Ph: (408) 261-7777

Reviews and Comments


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