Individual provider · Type 1 NPI

Elle Elizabeth Petersen, PA-C

Physician Assistant · Minneapolis, MN

NPI number 1164240446 Active

Practice location

920 E 28th St Ste 300
Minneapolis, MN 55407-1195

Call (612) 863-3900 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X15915 (MN)
Physician Assistant Primary 363A00000X15915 (MN)

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 1164240446

Elle Elizabeth Petersen, PA-C's National Provider Identifier is 1164240446, issued on Sep 26, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Minneapolis, MN. The record was last updated on Sep 23, 2026.