person
Amanda D Petersen, PA-C
Medical Physician Assistant in Kennewick, Washington
NPI 1528391372

Amanda D Petersen is a Medical Physician Assistant based in Kennewick, WA and is specialized in Medical. Amanda D Petersen practices in Kennewick, WA and has the professional credentials of PA-C. The NPI Number for Amanda D Petersen is 1528391372 and holds a License No. PENDING (Washington).

The current practice location address for Amanda D Petersen is 4804 W Clearwater Ave, Kennewick, WA and can be reached out via phone at 509-942-2355 and via fax at 509-222-2355. You can also correspond with Amanda D Petersen through the mailing address at 3900 S ZINTEL WAY, KENNEWICK, WA - 99337 (mailing address contact number: 509-942-3627).

Location: 4804 W Clearwater Ave, Kennewick, WA, 99337
person
Provider Profile Details
NPI Number
1528391372
Provider Name
Amanda D Petersen
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4804 W Clearwater Ave, Kennewick, WA, 99337
Phone Number
509-942-2355
Fax Number
509-222-2355
Provider Enumeration Date
09/11/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1528391372 05 WA
institution
Provider Business Practice Location Address Details
Address
4804 W Clearwater Ave
City
State
Zip
99336
Phone Number
509-942-2355
Fax Number
509-222-2355
person
Provider Business Mailing Address Details
Address
4804 W Clearwater Ave
City
State
Zip
99336
Phone Number
509-942-2355
Fax Number
509-222-2355
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PENDING (Washington)
Definition
Definition to come...
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