Individual provider · Type 1 NPI

Sydney Rae Petersen, PA

Physician Assistant · Lincoln, NE

NPI number 1093551715 Active

Practice location

4101 Tiger Lily Rd Ste 100
Lincoln, NE 68516-5587

Fax (402) 420-6969

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X3367 (NE)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1093551715

Sydney Rae Petersen, PA's National Provider Identifier is 1093551715, issued on Jul 2, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lincoln, NE. The record was last updated on Mar 24, 2026.