Individual provider · Type 1 NPI

Lennett Petersen, APRN

Nurse Practitioner · Anchorage, AK

NPI number 1104425073 Active

Practice location

3801 Lake Otis Pkwy Ste 300
Anchorage, AK 99508-5234

Call (907) 562-2277 Map

Fax (907) 563-3460

Other practice locations

  • 3200 Providence Dr, Anchorage, AK 99508-4615 · (907) 854-9333
  • 10928 Eagle River Rd Ste 240, Eagle River, AK 99577-8080 · (907) 562-2277
  • 7010 E Bogard Rd Bldg 2, Wasilla, AK 99654-4711 · (907) 373-4732

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse 163WG0000X38066 (AK)
Nurse Practitioner Primary 363L00000X166918 (AK)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

115 other providers at this address

Other nurse practitioner providers in Anchorage

See all in Anchorage →

About NPI 1104425073

Lennett Petersen, APRN's National Provider Identifier is 1104425073, issued on Oct 21, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Anchorage, AK. The record was last updated on Dec 3, 2025.