Amanda Petersen, PA-C

Individual Active
NPI 1528391372
Medical Physician Assistant Kennewick, WA

NPI 1528391372 belongs to Amanda Petersen, PA-C, a medical physician assistant with a practice location in Kennewick, WA. The NPI was issued on September 11, 2009, and the record was last updated in NPPES on January 22, 2014. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2014. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X PA60113833 (WA)
Medical Physician Assistant 363AM0700X PENDING (WA)

Practice location

4804 W Clearwater Ave
Kadlec Clinic Urgent Care
Kennewick, WA 99336
Phone: (509) 942-2355

Local context

Active NPPES records list 38 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 29 of them within 10 miles.

The same primary taxonomy is listed by 1,089 in Washington and 40,084 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
Amanda D Petersen
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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