Individual
ELYSIA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1801 AMERICAN BLVD E, BLOOMINGTON, MN 55425-1232
(952) 767-2267
(952) 767-0782
Mailing address
1801 AMERICAN BLVD E, BLOOMINGTON, MN 55425-1232
(952) 767-2267
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP4557
MN
Other
Enumeration date
06/13/2016
Last updated
10/04/2024
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