Individual
RICHARD ALLEN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6390
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1030110
TX
163W00000X
Registered Nurse
Primary
2478274
MN
163W00000X
Registered Nurse
RN9568124
FL
Other
Enumeration date
01/01/2025
Last updated
01/01/2025
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