Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE M PETERSON, PA
ActiveNICOLE M PETERSON, PA is a Physician Assistant healthcare provider located in URBANA, Illinois. NPI 1538479571 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · URBANA, IL
Registration Details
- NPI Number
- 1538479571
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 8, 2010 (15.831132212426 yrs)
- Last Updated
- Mar 22, 2016
- License
-
085003809 (IL)
Practice Information
- Address
-
611 W PARK STEDURBANA, IL, 618012500Browse IL providers · Browse ZIP 61801
- Phone
- 2173833313
- Fax
- 2173834014
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in URBANA, IL
| Name | Credential | NPI |
|---|---|---|
| RICHARD OFFENBACK JR. | PA | 1871584920 |
| THOMAS MCCALL | PA-C | 1639148257 |
| TERI D WEIR | PA | 1679598031 |
| ERIC KUCHEFSKI | PA | 1194895821 |
| HOSHANG IRANI | PA | 1033270954 |
| JAMES S PHARES | PA | 1659417293 |
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.