Individual
EMILY JANE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9825 HOSPITAL DR STE 300, MAPLE GROVE, MN 55369-4768
(763) 587-7999
(763) 494-7501
Mailing address
8140 ZENITH AVE S, MINNEAPOLIS, MN 55431-1055
(218) 296-0714
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2484239
MN
363LF0000X
Family Nurse Practitioner
Primary
13416
MN
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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