Individual
REBECCA D PETERSON
Active
Individual
REBECCA D PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
7249
MN
363LF0000X
Family Nurse Practitioner
Primary
7249
MN
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
7249
MN
Other
Enumeration date
02/25/2020
Last updated
04/24/2025
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