Katie Marie Peterson, AGNP
Nurse Practitioner in Saint Louis Park, MN. Individual provider (NPI-1).
NPI number1508265331
StatusActive
Last updated in NPPESMar 10, 2021
Details
- NPI
- 1508265331
- Entity type
- Individual (NPI-1)
- Name
- Katie Marie Peterson
- Credential
- AGNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 18, 2014
- Certification date
- Mar 10, 2021
- Last updated
- Mar 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 3298 | MN | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | AG0614152 | MN |
Practice location
3931 Louisiana Ave SSuite E202
Saint Louis Park, MN 55426-5000
Phone 952-993-9184
Mailing address
8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
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Other Nurse Practitioner providers in Saint Louis Park, MN
- Rebecca Anne Arenson, NPNPI 1376996736
- Allison Kroll Burrows, CNPNPI 1558271304
- Erin Elizabeth Peterson, NPNPI 1245664630
- Shannon Noelle Plantenberg, NPNPI 1891524435
- Shereen Sorensen, FNP, RNNPI 1043800022
- Lillie Colleen Truskowski, APRNNPI 1700652096
All 7 Nurse Practitioner providers in Saint Louis Park · All 441 providers in Saint Louis Park
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