Individual
AMY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, PHN
Contact information
Practice address
8925 ZANE AVE N, BROOKLYN PARK, MN 55443-1630
(763) 391-8403
(763) 391-8400
Mailing address
8925 ZANE AVE N, BROOKLYN PARK, MN 55443-1630
(763) 391-8403
(763) 391-8400
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R207476-2
MN
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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