Individual
ANNIKA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
2845 HAMLINE AVE N, ROSEVILLE, MN 55113-7127
(651) 631-6407
(651) 631-6343
Mailing address
2845 HAMLINE AVE N, ROSEVILLE, MN 55113-7127
(651) 631-6407
(651) 631-6343
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
5627
MN
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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