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Individual

ERIN ELIZABETH PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, NP-C

Contact information

Practice address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-5000
(952) 993-3230
(952) 993-1748
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1115
MN
363LA2200X
Adult Health Nurse Practitioner
R161112-6
MN
363LG0600X
Gerontology Nurse Practitioner
R161112-6
MN

Other

Enumeration date
10/13/2010
Last updated
08/09/2024
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