Individual
KIMBERLY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP-PC
Contact information
Practice address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 537-9007
(507) 537-9290
Mailing address
250 POLK ST, GARVIN, MN 56132-9769
(507) 829-8392
(507) 746-4409
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1659719
MN
363LP0200X
Pediatric Nurse Practitioner
Primary
5256
MN
Other
Enumeration date
06/26/2017
Last updated
07/14/2017
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