Individual provider · Type 1 NPI

Katherine A. Petersen, C.N.P.

Nurse Practitioner · St. Paul, MN

NPI number 1902826258 Active

Practice location

225 Smith Ave N, Suite 300
St. Paul, MN 55102-2533

Call (651) 726-6200 Map

Fax (651) 241-0992

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR0794675 (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 1902826258

Katherine A. Petersen, C.N.P.'s National Provider Identifier is 1902826258, issued on Jul 20, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Paul, MN. The record was last updated on Oct 9, 2013.