Individual
MRS. LINDA LOUISE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
255 SMITH AVE N, SUITE 200, SAINT PAUL, MN 55102-2572
(651) 726-2787
Mailing address
2266 ARIEL ST N, SAINT PAUL, MN 55109-2852
(651) 777-9248
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R091131-9
MN
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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