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Katie Marie Peterson, AGNP
Nurse Practitioner in Saint Louis Park, Minnesota
NPI 1508265331

Katie Marie Peterson is a Nurse Practitioner based in Bloomington, MN. Katie Marie Peterson practices in Saint Louis Park, MN and has the professional credentials of AGNP. The NPI Number for Katie Marie Peterson is 1508265331 and holds a License No. AG0614152 (Minnesota).

The current practice location address for Katie Marie Peterson is 3931 Louisiana Ave S, Saint Louis Park, MN and can be reached out via phone at 952-993-9184.

Location: 3931 Louisiana Ave S, Saint Louis Park, MN, 55425-4516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508265331
Provider Name
Katie Marie Peterson
Credential
AGNP
Provider Entity Type
Individual
Gender
Female
Address
3931 Louisiana Ave S, Saint Louis Park, MN, 55425-4516
Phone Number
952-993-9184
Fax Number
Provider Enumeration Date
08/18/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3931 Louisiana Ave S
City
Saint Louis Park
State
Minnesota
Zip
55426-5000
Phone Number
952-993-9184
Fax Number
person
Provider Business Mailing Address Details
Address
3931 Louisiana Ave S
City
Saint Louis Park
State
Minnesota
Zip
55426-5000
Phone Number
952-993-9184
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
3298 (Minnesota)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
AG0614152 (Minnesota)
Definition
Definition to come...
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