Linda Louise Petersen RN, BSN

NPI 1730294067 - Registered Nurse - 163W00000X

NPI Details
NPI 1730294067
Gender Female
Enumeration Date 08/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
255 SMITH AVE N
SUITE 200
SAINT PAUL MN, 55102-2572, US
Phone (651) 726-2787
Fax
Business Location
2266 ARIEL ST N
SAINT PAUL MN, 55109-2852, US
Phone (651) 777-9248
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Minnesota
License Number R091131-9
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According to our database, Mrs. Linda Louise Petersen RN, BSN NPI is 1730294067, taxonomy code is 163W00000X and license number is R091131-9, license state is located at Minnesota. Linda Louise Petersen RN, BSN physically located at 255 Smith Ave N, Saint Paul MN, 55102-2572. NPI Number Linda Louise Petersen RN, BSN has the Individual type.

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1730294067 NPI number is provided on an as is basis without warranty of any kind. 1730294067 is maintained by the National Plan & Provider Enumeration System. The contents of Linda Louise Petersen RN, BSN are for informational purposes only.