Individual
LAUREN PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
715 S 8TH ST, MINNEAPOLIS, MN 55404-1210
(612) 873-6963
(612) 873-1928
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(763) 873-3000
(612) 873-1928
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 200209-3
MN
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP1060
MN
Other
Enumeration date
04/04/2011
Last updated
03/06/2024
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