NPI 1083211395

Aaron Oscar Peterson, PASTUDENT

Practitioner Physician Assistant North Platte, NE

Practice location

Address: 215 McNeel Ln, North Platte, NE 69101-6054
Phone: (308) 568-3800
Mailing address: 406 N Pacific St APT 315, North Platte, NE 69101-3335

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2491 (NE)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1083211395
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Oct 2020
Record last updated: 8 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.