Individual
KARLYN M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1687 E DIVISION ST, RIVER FALLS, WI 54022-1571
(715) 425-6701
Mailing address
1687 E DIVISION ST, RIVER FALLS, WI 54022-1571
(715) 425-6701
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
10075
MN
367A00000X
Advanced Practice Midwife
Primary
148929
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-01404
MEDICA
MN
01
—
164365
UCARE
MN
01
—
46G41PE
BLUE CROSS BLUE SHIELD
MN
05
—
480607700
—
MN
Enumeration date
04/21/2006
Last updated
12/27/2016
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