# ANASTASIA LEIGH PETERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1144743360
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 088285 | IA | — |
| 207Q00000X | Family Medicine Physician | 088285 | IA | Yes |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 088285 | IA | — |
| 261QU0200X | Urgent Care Clinic/Center | 088285 | IA | — |
| 363AM0700X | Medical Physician Assistant | 088285 | IA | — |

## Other

- **Enumeration date:** 07/19/2017
- **Last updated:** 11/02/2021