Individual
BRANDI PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
820 4TH ST N, FARGO, ND 58102-4539
(701) 234-6161
(701) 234-7592
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R41939
ND
363LF0000X
Family Nurse Practitioner
R41939
ND
Other
Enumeration date
04/10/2020
Last updated
09/19/2022
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