Individual provider · Type 1 NPI

Randy Wayne Peterson, APRN, CNP

Nurse Practitioner · Minneapolis, MN

NPI number 1730747221 Active

Practice location

800 E 28th St # W4300
Minneapolis, MN 55407-3723

Call (612) 863-3110 Map

Fax (612) 863-8927

Mailing address

PO Box 43
Minneapolis, MN 55440-0043

Other practice locations

  • 716 South 7th Street, P1.600, Minneapolis, MN 55415 · (612) 873-3000
  • 6545 France Ave S Ste 586, Edina, MN 55435-2125 · (952) 915-8700

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR214182-8 (MN)
Nurse Practitioner Primary 363L00000X7781 (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 1730747221

Randy Wayne Peterson, APRN, CNP's National Provider Identifier is 1730747221, issued on May 30, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Minneapolis, MN. The record was last updated on Feb 9, 2024.