Individual provider · Type 1 NPI

Dana D. Petersen, PAC

Medical Physician Assistant · Lincoln, NE

NPI number 1255426524 Active

Practice location

7440 S 91st St
Lincoln, NE 68526-9797

Fax (402) 328-3770

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X902 (NE)
Medical Physician Assistant Primary 363AM0700X902 (NE)

Medical Physician Assistant: Definition to come...

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About NPI 1255426524

Dana D. Petersen, PAC's National Provider Identifier is 1255426524, issued on Oct 4, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lincoln, NE. The record was last updated on Feb 1, 2012.