Individual
AMBER LEIGH PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1099 10TH AVE SE, MINNEAPOLIS, MN 55414-1312
(612) 767-6272
Mailing address
741 84TH LN NW, COON RAPIDS, MN 55433-5904
(612) 298-5684
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R155560-6
MN
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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