Individual
MRS. HEATHER A PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-5580
Mailing address
PO BOX 467, SHAKOPEE, MN 55379-0467
(952) 334-9191
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
R154697-4
MN
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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