Individual
BARBARA JEAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
347 SMITH AVE N, PSYCHIATRY SERVICES SUITE 404, SAINT PAUL, MN 55102-2387
(651) 220-6739
(651) 220-6707
Mailing address
347 NORTH SMITH AVENUE, PSYCHIATRY SERVICES SUITE 404, ST. PAUL, MN 55102
(651) 220-6739
(651) 220-6707
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R079088-6
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1022196
PREFERRED ONE
—
01
—
12-01408
MEDICA CHOICE
—
01
—
12-01409
MEDICA PRIMARY
—
05
—
4303000
—
MT
05
—
43941200
—
WI
01
—
938505
ARAZ/PPO
—
01
—
HP22879
HEALTHPARTNERS
—
Enumeration date
07/19/2006
Last updated
07/09/2007
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