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Contact Information

ANASTASIA L PETERSON, PA-C
5200 100TH ST
URBANDALE, IA50322-7208
 Phone: 515-695-7500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Medical

363AM0700X 97 Physician Assistant
 

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
 

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for ANASTASIA L PETERSON · (Female)

NPI # 1144743360
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/19/2017
Last updated 11/02/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # 088285
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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