IndividualActive
Alexis Pedersen, PA C
NPI 1306425970 · Medical Physician Assistant · Phoenix, AZ
Provider details
- NPI number
- 1306425970
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8682 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Practice location
2902 W Agua Fria Fwy Ste 1000
Phoenix, AZ 85027-3969
Phone: (623) 582-6420
Fax: (623) 582-6720
Approximate (ZIP-level) locationGet directions
Mailing address
10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366
Registry dates
- Enumerated
- 2021-04-02
- Last updated
- 2025-03-21
- Certified
- 2025-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.