Individual provider · Type 1 NPI

Barbara Lynn Peterson, PA

Medical Physician Assistant · St. Paul, MN

NPI number 1003809062 Active

Practice location

1619 Dayton Ave, Ste 205
St. Paul, MN 55104-6206

Fax (651) 642-2523

Mailing address

1515 Fairmount Ave
St. Paul, MN 55105-2315

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X8983 (MN)

Medical Physician Assistant: Definition to come...

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About NPI 1003809062

Barbara Lynn Peterson, PA's National Provider Identifier is 1003809062, issued on Aug 25, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Paul, MN. The record was last updated on Jul 8, 2007.