Individual provider · Type 1 NPI
Lauren Petersen, APRN, CNP
Pediatric Nurse Practitioner · Minneapolis, MN
NPI number
1194014779
Active
Practice location
715 S 8th St
Minneapolis, MN 55404-1210
Fax (612) 873-1928
Mailing address
701 Park Ave
Minneapolis, MN 55415-1623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R 200209-3 (MN) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | CNP1060 (MN) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1194014779
Lauren Petersen, APRN, CNP's National Provider Identifier is 1194014779, issued on Apr 4, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 6, 2024.