Peterson, Michelle Joan

Peterson, Michelle Joan is an individual health care provider with primary practice located at 1200 6Th Ave N Centracare Clinic, Saint Cloud MN 56303-2735. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Peterson, Michelle Joan can be contacted via phone (320) 252-5131.

Contact Information

Primary practice address
1200 6Th Ave N Centracare Clinic Saint Cloud MN 56303-2735
Phone: (320) 252-5131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R168705-3 Minnesota

Profile Details

NPI number 1447682885
LBN Legal business name Peterson, Michelle Joan
Credentials RN CAGNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2013
Last updated Mar 29th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447682885 NPPES
Minnesota MEDICAID 1447682885

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