Individual provider · Type 1 NPI

Mandy Jo Peterson

Registered Nurse · St. Cloud, MN

NPI number 1003621137 Active

Practice location

15 Riverside Dr NE
St. Cloud, MN 56304-0435

Call (320) 309-0679 Map

Mailing address

1936 Linda Ln
St. Cloud, MN 56301-4968

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	1608485 (MN)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1003621137

Mandy Jo Peterson's National Provider Identifier is 1003621137, issued on Feb 7, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in St. Cloud, MN. The record was last updated on Feb 7, 2025.