Peterson, Katie Lynne

Peterson, Katie Lynne is an individual health care provider with primary practice located at 3151 N Windsong Dr , Prescott Valley AZ 86314-2240. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Peterson, Katie Lynne can be contacted via phone (928) 778-4711.

Contact Information

Primary practice address
3151 N Windsong Dr Prescott Valley AZ 86314-2240
Phone: (928) 778-4711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 36001348A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 6032 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA21714 California

Profile Details

NPI number 1528119906
LBN Legal business name Peterson, Katie Lynne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2007
Last updated May 10th, 2017 - about 8 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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