MRS. Kelly Rae Peterson, CRNA
NPI #1336424027 in Maple Grove, Minnesota
Provider Information
- NPI Number
- 1336424027
- Entity Type
- Individual
- Name
- MRS. Kelly Rae Peterson, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Oct 13, 2011
- Last Updated
- Jan 26, 2012
Practice Location
- Address
- 9803 VAGABOND LN N
- City
- Maple Grove
- State
- Minnesota
- ZIP Code
- 55311-1364
- Phone
- (612) 242-1341
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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