Individual
MRS. ASHLEY TUCKER PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
306 W 5TH AVE, BOX 966, NOME, AK 99762
(907) 443-4530
Mailing address
PO BOX 124, NOME, AK 99762-0124
(603) 714-5481
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2150
AK
Other
Enumeration date
09/27/2011
Last updated
08/20/2021
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