Individual provider · Type 1 NPI

Amanda Vancene Peterson, AGACNP

Acute Care Nurse Practitioner · St. Paul, MN

NPI number 1255077202 Active

Practice location

225 Smith Ave N Ste 501
St. Paul, MN 55102-2545

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X1750728 (MN)
Acute Care Nurse Practitioner 363LA2100X00000 (MN)
Acute Care Nurse Practitioner Primary 363LA2100X9286 (MN)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1255077202

Amanda Vancene Peterson, AGACNP's National Provider Identifier is 1255077202, issued on May 11, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in St. Paul, MN. The record was last updated on Jan 16, 2023.