Individual
ANNA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-7032
Mailing address
1249 STANFORD AVE, SAINT PAUL, MN 55105-2810
(218) 391-6270
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
12233
MN
Other
Enumeration date
10/26/2024
Last updated
11/07/2024
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