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Joseph John Petersen
Licensed Practical Nurse in Fergus Falls, Minnesota
NPI 1487808705

Joseph John Petersen is a Licensed Practical Nurse based in Fargo, MN. Joseph John Petersen practices in Fergus Falls, MN. The NPI Number for Joseph John Petersen is 1487808705 and holds a License No. L064304-3 (Minnesota).

The current practice location address for Joseph John Petersen is 106 North 4Th Avenue, Fergus Falls, MN and can be reached out via phone at 218-993-3778 and via fax at 218-993-3187.

Location: 106 North 4Th Avenue, Fergus Falls, MN, 58102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487808705
Provider Name
Joseph John Petersen
Credential
Provider Entity Type
Individual
Gender
Male
Address
106 North 4Th Avenue, Fergus Falls, MN, 58102
Phone Number
218-993-3778
Fax Number
218-993-3187
Provider Enumeration Date
11/13/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
106 North 4Th Avenue
City
Fergus Falls
State
Minnesota
Zip
56537-1034
Phone Number
218-993-3778
Fax Number
218-993-3187
person
Provider Business Mailing Address Details
Address
106 North 4Th Avenue
City
Fergus Falls
State
Minnesota
Zip
56537-1034
Phone Number
218-993-3778
Fax Number
218-993-3187
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
L064304-3 (Minnesota)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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