Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. HOLLY SUZANNE PETERSON, PA-C
ActiveMRS. HOLLY SUZANNE PETERSON, PA-C is a Physician Assistant healthcare provider located in REXBURG, Idaho. NPI 1285278614 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · REXBURG, ID
Registration Details
- NPI Number
- 1285278614
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 29, 2019 (6.8293169454148 yrs)
- Last Updated
- Aug 26, 2024
- License
-
PA-1814 (ID)
Practice Information
- Address
-
72 S 1ST E STE 101REXBURG, ID, 834401965Browse ID providers · Browse ZIP 83440
- Phone
- 2083564900
- Fax
- 2083563724
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in REXBURG, ID
| Name | Credential | NPI |
|---|---|---|
| DAN LOREN WEBER | PA-C | 1962438812 |
| TERRY J. ANDERSON | PA-C | 1528097102 |
| TRAVIS J WEISZHAAR | P.A.-C. | 1962585752 |
| NICHOLE ROBSON | P.A.-C. | 1558445932 |
| GARY R SENA | PA-C | 1285785782 |
| JULIE MARIE ANDERSON | P.A. | 1215237896 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.