Individual provider · Type 1 NPI
Susan Peterlin, PA-C
Medical Physician Assistant · Lincoln, NE
NPI number
1336238104
Active
Practice location
600 S 70th St
Lincoln, NE 68510-2451
Fax (402) 486-7912
Mailing address
2940 Jackson Dr
Lincoln, NE 68502-5036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 753 (NE) |
Medical Physician Assistant: Definition to come...
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About NPI 1336238104
Susan Peterlin, PA-C's National Provider Identifier is 1336238104, issued on Oct 12, 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 Jul 8, 2007.