Individual
ROBIN LEE PETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
875 E MAIN ST, WACONIA, MN 55387
(952) 442-9354
Mailing address
8902 GOULD RD, EDEN PRAIRIE, MN 55347-3326
(612) 240-4560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4794
MN
363LF0000X
Family Nurse Practitioner
CNP 4794
MN
Other
Enumeration date
09/20/2016
Last updated
05/22/2018
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