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Contact Information

ASHLEY T PETERSON, PA-C
306 W 5TH AVE
BOX 966
NOME, AK99762
 Phone: 907-443-4530
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ASHLEY T PETERSON · (Female)

NPI # 1316220171
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/27/2011
Last updated 08/20/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 2150
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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