Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. HENRY PETERSEN, PA-C
ActiveMR. HENRY PETERSEN, PA-C is a Medical Physician Assistant healthcare provider located in COEUR D ALENE, Idaho. NPI 1891123543 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1891123543
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2013 (12.87474210461 yrs)
- Last Updated
- Jul 22, 2025
- License
-
PA-1146 (ID)
Practice Information
- Address
-
700 W IRONWOOD DRSTE 320COEUR D ALENE, ID, 838142656Browse ID providers · Browse ZIP 83814
- Phone
- 2086255250
- Fax
- 2086255251
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in COEUR D ALENE, ID
| Name | Credential | NPI |
|---|---|---|
| AMANDA L FIOLA | PA-C | 1861484701 |
| STUART T SHARP | PA | 1841248929 |
| HEATHER SARKIS | PA-C | 1023118122 |
| MR. DOUGLAS DUNCAN | PA-C | 1366509507 |
| MR. JEREMY ALLEN | PA-C | 1124205661 |
| MR. RICHARD LEE WIESEMANN II | — | 1629220488 |
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.