Petersen, Andrea Rae

Petersen, Andrea Rae is an individual health care provider with primary practice located at 500 Superior Ave Ste 310 , Newport Beach CA 92663-3609. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Petersen, Andrea Rae can be contacted via phone (949) 644-2722.

Contact Information

Primary practice address
500 Superior Ave Ste 310 Newport Beach CA 92663-3609
Phone: (949) 644-2722
Fax: (949) 650-3135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 11722 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 65363 California

Profile Details

NPI number 1063854669
LBN Legal business name Petersen, Andrea Rae
Credentials MPH, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2013
Last updated Nov 3rd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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