Michelle A Petersen in Lincoln - Physician Assistant
Michelle A Petersen - NPI 1538203476
Michelle A Petersen is a Physician Assistant in Lincoln, Nebraska. Michelle A Petersen practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michelle A Petersen is 1538203476. The last update date is 2023-05-01.
Michelle A Petersen's current location address is 4004 Pioneer Woods Dr, Lincoln, Nebraska. You can contact this provider via phone number 4024844900 and fax number 4024846456. The mailing address for Michelle A Petersen is 4004 Pioneer Woods Dr, Lincoln, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle A Petersen |
|---|---|
| Address | 4004 Pioneer Woods Dr, Lincoln, Nebraska |
| Phone Number | 4024844900 |
| Fax Number | 4024846456 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1538203476 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2023-05-01 |
Provider Mailing Address Detail
| Address | 4004 Pioneer Woods Dr |
|---|---|
| City | Lincoln |
| State | Nebraska (NE) |
| Post Code | 685067548 |
| Phone Number | 4024844900 |
| Fax Number | 4024846456 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1911 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Michelle A Petersen by the Centers for Medicare & Medicaid Services?
The Michelle A Petersen has been issued the NPI (National Provider Identifier) 1538203476 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Michelle A Petersen is physically located?
The Michelle A Petersen is situated at the following address: 4004 Pioneer Woods Dr, Lincoln, NE 685067548.
What is the Michelle A Petersen's specialty and taxonomy code?
The Michelle A Petersen's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did Michelle A Petersen receive its 1538203476 assignment from the Centers for Medicare & Medicaid Services?
The Michelle A Petersen was assigned its 1538203476 on 2007-02-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Michelle A Petersen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michelle A Petersen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-05-01.
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