Individual provider · Type 1 NPI

Joseph John Petersen

Licensed Practical Nurse · Fergus Falls, MN

NPI number 1487808705 Active

Practice location

106 North 4th Avenue
Fergus Falls, MN 56537-1034

Call (218) 993-3778 Map

Fax (218) 993-3187

Mailing address

1525 4th Street N
Fargo, ND 58102

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL064304-3 (MN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1487808705

Joseph John Petersen's National Provider Identifier is 1487808705, issued on Nov 13, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fergus Falls, MN. The record was last updated on Nov 13, 2008.