person
Judy L Peterson, CNNPCPNP
Pediatric Nurse Practitioner in St Paul, Minnesota
NPI 1033177985

Judy L Peterson is a Pediatric Nurse Practitioner based in Roseville, MN and is specialized in Pediatrics. Judy L Peterson practices in St Paul, MN and has the professional credentials of CNNPCPNP. The NPI Number for Judy L Peterson is 1033177985 and holds a License No. R1013148 (Minnesota).

The current practice location address for Judy L Peterson is 347 North Smith Ave, St Paul, MN and can be reached out via phone at 651-220-6210 and via fax at 651-220-7777.

Location: 347 North Smith Ave, St Paul, MN, 55113
person
Provider Profile Details
NPI Number
1033177985
Provider Name
Judy L Peterson
Credential
CNNPCPNP
Provider Entity Type
Individual
Gender
Female
Address
347 North Smith Ave, St Paul, MN, 55113
Phone Number
651-220-6210
Fax Number
651-220-7777
Provider Enumeration Date
05/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
347 North Smith Ave
City
State
Zip
55102
Phone Number
651-220-6210
Fax Number
651-220-7777
person
Provider Business Mailing Address Details
Address
347 North Smith Ave
City
State
Zip
55102
Phone Number
651-220-6210
Fax Number
651-220-7777
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
R1013148 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal, Critical Care
Taxonomy
License No.
R1013148 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
R1013148 (Minnesota)
Definition
Definition to come...
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