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Individual

MISS DANA ALEXANDRA PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1747 BEAM AVE STE 100, MAPLEWOOD, MN 55109-1128
(651) 232-3900
Mailing address
400 STINSON BLVD FL 2, MINNEAPOLIS, MN 55413-2614

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
6699
MN
363L00000X
Nurse Practitioner
6046
CT
363LF0000X
Family Nurse Practitioner
6046
CT
363LF0000X
Family Nurse Practitioner
Primary
6699
MN
363LF0000X
Family Nurse Practitioner
RN2284104
MA

Other

Enumeration date
01/07/2015
Last updated
06/01/2022
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