Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA M PETERSON, PA-C
ActiveLISA M PETERSON, PA-C is a Surgical Physician Assistant healthcare provider located in WILLISTON, North Dakota. NPI 1619156411 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · WILLISTON, ND
Registration Details
- NPI Number
- 1619156411
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 29, 2007 (18.801483092325 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
PAC0377 (ND)PAC0377 (ND)
Practice Information
- Address
-
1500 14TH ST W STE 300WILLISTON, ND, 588014079Browse ND providers · Browse ZIP 58801
- Phone
- 7017747500
- Fax
- 7017743918
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in WILLISTON, ND
| Name | Credential | NPI |
|---|---|---|
| CARLEY HENNESSY | — | 1407227101 |
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.