Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peterson Wellness Primary Care and Pediatrics, PLLC

Organization Primary Care Clinic/Center · NPI 1851062517

Peterson Wellness Primary Care and Pediatrics, PLLC is a Primary Care Clinic/Center in Broken Arrow, Oklahoma. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

109 W Commercial St
Broken Arrow, OK 74012-4012
Phone: (918) 724-3952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1851062517
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashton Peterson — Nurse Practitioner, Owner · (918) 724-3952
NPI enumeratedSeptember 22, 2021
Last updated in NPPESSeptember 22, 2021
Certification dateSeptember 16, 2021
Mailing address9701 Spring Lake Dr, Broken Arrow, OK 74014-3426

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