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

EMILY PETERSEN, PA-C

Active

EMILY PETERSEN, PA-C is a Physician Assistant healthcare provider located in OCHELATA, Oklahoma. NPI 1720658354 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · OCHELATA, OK

Registration Details

NPI Number
1720658354
Provider Type
Individual
Gender
Female
NPI Issued
Jun 27, 2021 (5.1379603437559 yrs)
Last Updated
Jun 9, 2022
License
4779 (OK)

Practice Information

Address
395200 W 2900 RD
OCHELATA, OK, 740512463
Browse OK providers · Browse ZIP 74051
Phone
9185356000
Primary Specialty
Physician Assistant
363A00000X
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.