Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA MICHELLE PETERSON, PA-C
Active Sole ProprietorAMANDA MICHELLE PETERSON, PA-C is a Physician Assistant healthcare provider located in SHAKOPEE, Minnesota. NPI 1457805020 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SHAKOPEE, MN
Registration Details
- NPI Number
- 1457805020
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 11, 2016 (9.9644473849117 yrs)
- Last Updated
- Jan 16, 2023
- License
-
12245 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1601 SAINT FRANCIS AVE STE 100SHAKOPEE, MN, 553793384Browse MN providers · Browse ZIP 55379
- Phone
- 9524283535
- Fax
- 9524283599
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SHAKOPEE, MN
| Name | Credential | NPI |
|---|---|---|
| MS. MARIA VICTORIA POLANCO | PHYSICIAN ASSISTANT | 1467439455 |
| JENNIFER E GRUNDHOFER | PA-C | 1134194152 |
| MRS. JENNIFER RUTH LARSON | PA-C | 1285684555 |
| LISA M CUNAT | PAC | 1811939275 |
| DAVID J COLLINS | PA | 1386671873 |
| ELIZABETH MAUREEN KENNEDY LALIBERTE | PA-C | 1063500247 |
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.