Individual
MYRNA JOY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, C-FNP
Contact information
Practice address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(507) 238-8500
Mailing address
164 110TH ST, ALPHA, MN 56111-1107
(507) 764-3361
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2473
MN
363LF0000X
Family Nurse Practitioner
R0914222
MN
Other
Enumeration date
11/06/2006
Last updated
06/26/2019
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