person
Shalena Peterson, PA-C
Medical Physician Assistant in Prescott, Arizona
NPI 1083965651

Shalena Peterson is a Medical Physician Assistant based in Prescott, AZ and is specialized in Medical. Shalena Peterson practices in Prescott, AZ and has the professional credentials of PA-C. The NPI Number for Shalena Peterson is 1083965651 and holds a License No. 8594 (Arizona).

The current practice location address for Shalena Peterson is 3120 Clearwater Dr, Prescott, AZ and can be reached out via phone at 928-771-3704 and via fax at 928-771-0434.

Location: 3120 Clearwater Dr, Prescott, AZ, 86304-0880
person
Provider Profile Details
NPI Number
1083965651
Provider Name
Shalena Peterson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3120 Clearwater Dr, Prescott, AZ, 86304-0880
Phone Number
928-771-3704
Fax Number
928-771-0434
Provider Enumeration Date
09/24/2012
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
097887 05 AZ
institution
Provider Business Practice Location Address Details
Address
3120 Clearwater Dr
City
State
Zip
86305-7131
Phone Number
928-771-3704
Fax Number
928-771-0434
person
Provider Business Mailing Address Details
Address
3120 Clearwater Dr
City
State
Zip
86305-7131
Phone Number
928-771-3704
Fax Number
928-771-0434
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
8594 (Arizona)
Definition
Definition to come...
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