Individual provider · Type 1 NPI
Kimberly Peterson, DNP, CPNP-PC
Pediatric Nurse Practitioner · Marshall, MN
NPI number
1265952626
Active
Practice location
300 S Bruce St
Marshall, MN 56258-1934
Fax (507) 537-9290
Mailing address
250 Polk St
Garvin, MN 56132-9769
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 1659719 (MN) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 5256 (MN) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1265952626
Kimberly Peterson, DNP, CPNP-PC's National Provider Identifier is 1265952626, issued on Jun 26, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Marshall, MN. The record was last updated on Jul 14, 2017.