Katie Marie Peterson, AGNP
NPI #1508265331 in Saint Louis Park, Minnesota
Provider Information
- NPI Number
- 1508265331
- Entity Type
- Individual
- Name
- Katie Marie Peterson, AGNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Credential
- AGNP
- Enumeration Date
- Aug 18, 2014
- Last Updated
- Mar 10, 2021
Practice Location
- Address
- 3931 LOUISIANA AVE S
- Address 2
- SUITE E202
- City
- Saint Louis Park
- State
- Minnesota
- ZIP Code
- 55426-5000
- Phone
- (952) 993-9184
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
| Nurse Practitioner |
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