Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN ADAM PETERSON, PA-C
ActiveGLENN ADAM PETERSON, PA-C is a Physician Assistant healthcare provider located in POULSBO, Washington. NPI 1972031698 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · POULSBO, WA
Registration Details
- NPI Number
- 1972031698
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2017 (9.177520195168 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
085006213 (IL)PA61047355 (WA)
Practice Information
- Address
-
19835 10TH AVE NE STE BPOULSBO, WA, 983707451Browse WA providers · Browse ZIP 98370
- Phone
- 3607797011
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in POULSBO, WA
| Name | Credential | NPI |
|---|---|---|
| BETTY L STEWART | PAC | 1942298773 |
| MS. KIMBERLY LYNN FUNCHESS | PA | 1639159189 |
| JAMES RUTLEDGE | PA-C | 1629009428 |
| GINGER BOUMA | PA-C | 1679507289 |
| ALISON M STINNETT | PA | 1427066323 |
| JESSE T. FENGER | PA-C | 1083798532 |
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.