Individual
ALICIA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP, CNM
Contact information
Practice address
824 N 11TH ST, MONTEVIDEO, MN 56265-1629
(320) 269-8877
(320) 321-8200
Mailing address
1282 WALNUT ST, DAWSON, MN 56232-2333
(320) 769-4393
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
514
MN
363L00000X
Nurse Practitioner
Primary
CNP 4807
MN
Other
Enumeration date
09/23/2016
Last updated
09/07/2022
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