Individual
HEIDI J PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2305 37TH AVE SW, MINOT, ND 58701-7669
(701) 510-2010
(844) 689-1997
Mailing address
2305 37TH AVE SW, MINOT, ND 58701-7669
(701) 510-2010
(844) 689-1997
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R28403
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MN
Enumeration date
03/26/2007
Last updated
03/10/2026
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