Individual
KATIE REBECCA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 W VERNON AVE, FERGUS FALLS, MN 56537-2741
(218) 736-8000
Mailing address
919 W LINDEN ST, FERGUS FALLS, MN 56537-1047
(218) 205-7133
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11934
MN
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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