Individual
PATRICIA ANN PESCHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
12755 HIGHWAY 55, MN009-S130, PLYMOUTH, MN 55441-3837
(800) 896-8936
(763) 797-4075
Mailing address
1104 WHITNEY DR, APPLE VALLEY, MN 55124-9142
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R0882260
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341320900
—
MN
Enumeration date
09/30/2005
Last updated
07/09/2007
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