Peterson, Katie

Peterson, Katie is an individual health care provider with primary practice located at 17521 93Rd Pl N , Maple Grove MN 55311-4437. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Peterson, Katie can be contacted via phone (763) 577-7179.

Contact Information

Primary practice address
17521 93Rd Pl N Maple Grove MN 55311-4437
Phone: (763) 577-7179
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1477886323
LBN Legal business name Peterson, Katie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2009
Last updated Sep 10th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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