Eliza Petersen, AUD, CCCA

Individual Active
NPI 1083750996
Audiologist Driggs, ID

Eliza Petersen, AUD, CCCA holds NPI 1083750996, with a primary taxonomy of audiologist and a practice location in Driggs, ID. The number was issued on January 29, 2007 and the NPPES record was last updated on April 19, 2023. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Audiologist Primary 231H00000X AUD-1142 (ID)
Audiologist 231H00000X A-974 (WY)

Practice location

2740 Shadowmoon Ln Ste 417
Driggs, ID 83422-5083
Phone: (307) 745-5587

Local context

Active NPPES records list 2 providers with audiologist as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 151 in Idaho and 25,124 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Eliza S. Petersen
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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