| Nicole M Peterson, PA | |
|
611 W Park St, Ed, Urbana, IL 61801-2500 | |
| (217) 383-3313 | |
| (217) 383-4014 |
| Full Name | Nicole M Peterson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 611 W Park St, Urbana, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538479571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085003809 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole M Peterson, PA 611 W. Park St., Bwpc, Urbana, IL 61801-2500 Ph: (217) 383-6792 | Nicole M Peterson, PA 611 W Park St, Ed, Urbana, IL 61801-2500 Ph: (217) 383-3313 |
Mrs. Abigail Boethin, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Fapc, Urbana, IL 61801 Phone: 217-904-7000 Fax: 217-904-7748 | |
Hoshang Irani, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Urbana, IL 61801 Phone: 217-383-3313 Fax: 217-383-4014 | |
Aubrey N. Hudson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Ob/gyn, Urbana, IL 61801 Phone: 217-383-3140 Fax: 217-383-4966 | |
Sarah Rebecca Moon, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Kiley Ann Owen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Emergency, Urbana, IL 61801 Phone: 217-383-3313 Fax: 217-383-4014 | |
Nicholas Holwey, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 611 W. Park St., Emergency Room, Urbana, IL 61801 Phone: 217-383-3311 Fax: 217-383-4014 | |
Sharlina D Dhom, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3610 Fax: 217-326-2704 |