Individual provider · Type 1 NPI
Nicholas Pedersen
Physician Assistant · Cumberland, WI
Practice location
1705 16th Ave
Cumberland, WI 54829-8601
Fax (715) 822-7501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 5071 (WI) |
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 1619502275
Nicholas Pedersen's National Provider Identifier is 1619502275, issued on Mar 4, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Cumberland, WI. The record was last updated on Mar 24, 2026.