Individual
HANNAH PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-5437
Mailing address
4608 NW 161ST ST, EDMOND, OK 73013-3250
(360) 907-7875
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5683
OK
Other
Enumeration date
09/26/2024
Last updated
10/28/2025
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