Individual provider · Type 1 NPI

Stacey D. Peterson

Primary Care Nurse Practitioner · Minot, ND

NPI number 1073207569 Active

Practice location

400 Burdick Expy E
Minot, ND 58701-4768

Call (701) 418-8000 Map

Mailing address

PO Box 5010
Minot, ND 58702-5010

Other practice locations

  • 2305 37th Ave SW, Minot, ND 58701-7669 · (701) 418-8000
  • 1500 24th Ave SW, Minot, ND 58701-6905 · (701) 857-5343

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XR32510 (ND)
Primary Care Nurse Practitioner Primary 363LP2300XR32510 (ND)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1073207569

Stacey D. Peterson's National Provider Identifier is 1073207569, issued on Jun 7, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Minot, ND. The record was last updated on Sep 24, 2025.