Peterson, Amanda Michelle

Peterson, Amanda Michelle is an sole proprietor health care provider with primary practice located at 1601 Saint Francis Ave Ste 100 , Shakopee MN 55379-3384. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Peterson, Amanda Michelle can be contacted via phone (952) 428-3535.

Contact Information

Primary practice address
1601 Saint Francis Ave Ste 100 Shakopee MN 55379-3384
Phone: (952) 428-3535
Fax: (952) 428-3599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12245 Minnesota

Profile Details

NPI number 1457805020
LBN Legal business name Peterson, Amanda Michelle
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2016
Last updated Jan 16th, 2023 - about 3 years ago

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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