Individual
ASHLEY E PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1101 S 70TH ST STE 203, LINCOLN, NE 68510-4293
(402) 937-1101
Mailing address
1101 S 70TH ST STE 203, LINCOLN, NE 68510-4293
(402) 937-1101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2931
NE
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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