Female

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)

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

Provider Address