Individual provider · Type 1 NPI

Laura K. Petry, CPNP

Nurse Practitioner · St. Paul, MN

NPI number 1205930567 Active

Practice location

347 North Smith Avenue, Childrens Specialty Clinic Infectious Disease Stpl
St. Paul, MN 55102

Fax (651) 220-7233

Mailing address

2910 Centre Pointe Drive, 35-121A Childrens Health Care
Roseville, MN 55113

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR1218309 (MN)
Pediatric Nurse Practitioner 363LP0200XR1218309 (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 1205930567

Laura K. Petry, CPNP's National Provider Identifier is 1205930567, issued on Sep 8, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Paul, MN. The record was last updated on Sep 11, 2025.