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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATIE LYNNE PETERSON, PA-C

Active

KATIE LYNNE PETERSON, PA-C is a Medical Physician Assistant healthcare provider located in PRESCOTT VALLEY, Arizona. NPI 1528119906 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · PRESCOTT VALLEY, AZ

Registration Details

NPI Number
1528119906
Provider Type
Individual
Gender
Female
NPI Issued
Jan 14, 2007 (19.550612032092 yrs)
Last Updated
May 10, 2017
Licenses
36001348A (IN)
6032 (AZ)
PA21714 (CA)

Practice Information

Address
3151 N WINDSONG DR
PRESCOTT VALLEY, AZ, 863142240
Browse AZ providers · Browse ZIP 86314
Phone
9287784711
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in PRESCOTT VALLEY, AZ

Name Credential NPI
MS. LINDA BETH ROBERTS PA-C 1487658431
KIMBERLY S. WALLACH P.A.-C 1750391462
PRESTON DAVID MILLER PA-C 1477794451
MICA L ADAIR PA 1831653377
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.