Individual provider · Type 1 NPI
Laura K. Petry, CPNP
Nurse Practitioner · St. Paul, MN
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
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R1218309 (MN) |
| Pediatric Nurse Practitioner | 363LP0200X | R1218309 (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.