Ashley Anne Petersen
Pediatrician
30011 E State Highway 51
Coweta
, Oklahoma 74429-7681
Ashley Anne Petersen
Pediatrician
30011 E State Highway 51
Coweta
, Oklahoma 74429-7681
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Ashley Anne Petersen
- 6600 S Yale Ave Suite 1400
- Tulsa, OK
- Zip : 74136-3347
- Phone :
Second Address
- Ashley Anne Petersen
- 30011 E State Highway 51
- Coweta, OK
- Zip : 74429-7681
- Phone : (918) 486-2161
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 29052 | OK |
National Provider Identifier
| NPI | 1003058579 |
|---|---|
| Provider Name | Ashley Anne Petersen |
| First Address | Tulsa, OK 74136-3347 |
| Second Address | Coweta, OK 74429-7681 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/03/2009 |
| Last Update Date | 02/07/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.