National Provider Identifier
Courtney Slocum Petersen, PA-C
Courtney Slocum Petersen, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 636-8200.
Source: public NPPES record, last updated January 14, 2016. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1730184375
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 20, 2005
- Last Updated
- January 14, 2016
Practice Location
- 750 Washington St # 178
- Tufts Medical Center
- Boston, MA 02111-1526
Phone: (617) 636-8200
Mailing Address
- 57 E Concord St
- Apt 3
- Boston, MA 02118-1996
Specialties
- Physician Assistant (363A00000X)
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Biography
Courtney Petersen, PA-C, is a Boston-based neurology physician assistant affiliated with Tufts Medical Center. She is NCCPA-certified and completed physician assistant training at Butler University in 1999; her public professional profile also notes experience with Tufts-New England Medical Center and specialty focus areas in neurosurgery and vascular surgery.
Full Record
- NPI
- 1730184375
- Entity Type
- Individual
- Last Name
- Petersen
- First Name
- Courtney
- Middle Name
- Slocum
- Credential
- PA-C
- Mailing Street Address
- 57 E Concord St
- Mailing Address Line 2
- Apt 3
- Mailing City
- Boston
- Mailing State
- MA
- Mailing ZIP Code
- 02118-1996
- Mailing Country
- US
- Mailing Phone
- (770) 519-8108
- Practice Street Address
- 750 Washington St # 178
- Practice Address Line 2
- Tufts Medical Center
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02111-1526
- Practice Country
- US
- Practice Phone
- (617) 636-8200
- Practice Fax
- (617) 636-7587
- Enumeration Date
- June 20, 2005
- Last Updated
- January 14, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 000867701 (Medicare)