Individual provider · Type 1 NPI

Hannah Petersen, PA-C

Physician Assistant · Oklahoma City, OK

NPI number 1861210122 Active

Practice location

1200 Childrens Ave
Oklahoma City, OK 73104-4637

Call (405) 271-5437 Map

Mailing address

4608 NW 161st St
Edmond, OK 73013-3250

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5683 (OK)

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 1861210122

Hannah Petersen, PA-C's National Provider Identifier is 1861210122, issued on Sep 26, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Oct 28, 2025.