Individual
MRS. DEBRA J PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CFNP
Contact information
Practice address
12450 WAYZATA BLVD, SUITE 215, MINNETONKA, MN 55305-1978
(952) 546-6866
(952) 512-0038
Mailing address
2271 FOREST SHORES RD, OGILVIE, MN 56358-3927
(952) 546-6866
(952) 512-0038
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
MN
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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