Individual provider · Type 1 NPI

Kristina Pettersen

Licensed Practical Nurse · Mandan, ND

NPI number 1750780177 Active

Practice location

1200 Collins Ave
Mandan, ND 58554-2067

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL13676 (ND)

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 1750780177

Kristina Pettersen's National Provider Identifier is 1750780177, issued on Aug 21, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mandan, ND. The record was last updated on Aug 21, 2014.