Judy L. Peterson CNNP CPNP
Full Name
Judy L Peterson CNNP CPNP
NPI Number
1033177985
NPI Type
Individual Provider
Gender
Female
Enumeration Date
05/02/2006
Specialties
(Taxonomies)Name
Code
363LN0005X
363LN0000X
363LP0200X
Primary Taxonomy
No
No
No
Licenses
State
Minnesota
License Number
R1013148
Contact
Information
Purpose
Mailing
Location
Address
2910 CENTRE POINTE DR
347 NORTH SMITH AVE
City
Roseville
St Paul
State
MN
MN
Postal Code
55113
55102
Country
US
US
Telephone Number
(651) 855-2327
(651) 220-6210
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007