IndividualActive
Alice Peterson, P.A.-C.
NPI 1871654418 · Medical Physician Assistant · Phoenix, AZ
Provider details
- NPI number
- 1871654418
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.-C.
- Sex
- Female
- Sole proprietor
- No
- License
- 2837 (AZ)
Practice location
4545 E Chandler Blvd Ste 104
Phoenix, AZ 85048-7647
Phone: (480) 728-4400
Fax: (480) 728-4411
Mailing address
Po Box 33269
Phoenix, AZ 85067-3269
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2024-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.