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

Dr. Eliza S. Petersen, AUD, CCCA

Individual provider Audiologist · NPI 1083750996

Dr. Eliza S. Petersen, AUD, CCCA is an Audiologist in Driggs, Idaho. Practices as a sole proprietor. Licensed in Idaho and Wyoming.

Licensed in
ID, WY
In the registry since
2007
Specialties on file
2
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.

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Practice location Address checks out

2740 Shadowmoon Ln Ste 417
Driggs, ID 83422-5083
Phone: (307) 745-5587
Fax: (877) 515-1633
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence AUD-1142 (ID)
Audiologist Taxonomy 231H00000X · Licence A-974 (WY)

Record details

NPI number1083750996
Entity typeIndividual (Type 1)
GenderFemale
Credentials AUD , CCCA
Sole proprietorYes
NPI enumeratedJanuary 29, 2007
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023

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