Elizabeth A. Peterson in South Portland - Physician Assistant
Elizabeth A. Peterson - NPI 1952450231
Elizabeth A. Peterson is a Physician Assistant in South Portland, Maine. Elizabeth A. Peterson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Elizabeth A. Peterson is 1952450231. The last update date is 2014-03-27.
Elizabeth A. Peterson's current location address is 100 Gannett Drive, South Portland, Maine. You can contact this provider via phone number 2078280361 and fax number 2078741483. The mailing address for Elizabeth A. Peterson is 100 Gannett Drive, South Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth A. Peterson |
|---|---|
| Address | 100 Gannett Drive, South Portland, Maine |
| Phone Number | 2078280361 |
| Fax Number | 2078741483 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1952450231 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2014-03-27 |
Provider Mailing Address Detail
| Address | 100 Gannett Drive |
|---|---|
| City | South Portland |
| State | Maine (ME) |
| Post Code | 4106 |
| Phone Number | 2078280361 |
| Fax Number | 2078741483 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA 749 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30336245 | NH | -- | |
| 431962899 | ME | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Elizabeth A. Peterson by the Centers for Medicare & Medicaid Services (CMS)?
The Elizabeth A. Peterson has been assigned the NPI (National Provider Identifier) 1952450231. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Elizabeth A. Peterson located?
The Elizabeth A. Peterson is located at 100 Gannett Drive, South Portland, ME 4106.
What is the area of specialization for Elizabeth A. Peterson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Elizabeth A. Peterson is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Elizabeth A. Peterson's 1952450231 issued?
The Elizabeth A. Peterson's 1952450231 was issued on 2007-01-09.
When was the Elizabeth A. Peterson's information last updated?
The Elizabeth A. Peterson's information was last updated on 2014-03-27.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC