Pedersen, Ashzra
Pedersen, Ashzra is an individual health care provider with primary practice located at 4663 Scotts Valley Dr , Scotts Valley CA 95066-4202. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Pedersen, Ashzra can be contacted via phone (831) 458-6300.Contact Information
Primary practice address
4663 Scotts Valley Dr
Scotts Valley CA 95066-4202
Phone: (831) 458-6300
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | AG08170091 | California |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F07170649 | California |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95007248 | California |
Profile Details
NPI number | 1649728999 |
---|---|
LBN Legal business name | Pedersen, Ashzra |
Credentials | DNP, RN, FNP-C, AGNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 15th, 2016 |
Last updated | Oct 12th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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