Individual
AMY PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, DNP
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
1678208
MN
367A00000X
Advanced Practice Midwife
372
MN
367A00000X
Advanced Practice Midwife
CNM1573
MN
Other
Enumeration date
07/19/2013
Last updated
09/18/2020
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