Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COURTNEY SLOCUM PETERSEN, PA-C
Active Sole ProprietorCOURTNEY SLOCUM PETERSEN, PA-C is a Physician Assistant healthcare provider located in BOSTON, Massachusetts. NPI 1730184375 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BOSTON, MA
Registration Details
- NPI Number
- 1730184375
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 20, 2005 (21.106929234257 yrs)
- Last Updated
- Jan 14, 2016
- Licenses
-
004199 (GA)2624 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
750 WASHINGTON ST # 178TUFTS MEDICAL CENTERBOSTON, MA, 021111526Browse MA providers · Browse ZIP 02111
- Phone
- 6176368200
- Fax
- 6176367587
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in BOSTON, MA
| Name | Credential | NPI |
|---|---|---|
| JULIANNE PLAUSSE | PA | 1891792230 |
| MRS. CHRISTIE J LUCENTE | PA | 1164429056 |
| MARIA PEREZ | PHYSICIAN ASSISTANT | 1992705834 |
| JENNIFER C CZARNIAK | PA | 1528050259 |
| MS. LAURA A BONDLOW | — | 1003806571 |
| MRS. ELIZABETH LANE ALQUEZA | PA-C | 1972584100 |
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.