Individual provider · Type 1 NPI

Alex D. Peterson, FNP-C

Nurse Practitioner · Mankato, MN

NPI number 1184513103 Active

Practice location

1025 Marsh St
Mankato, MN 56001-4752

Mailing address

PO Box 860912
Minneapolis, MN 55486-0912

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X13016 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1184513103

Alex D. Peterson, FNP-C's National Provider Identifier is 1184513103, issued on Jul 2, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mankato, MN. The record was last updated on Sep 15, 2025.