KATIE MARIE PETERSON

SAINT LOUIS PARK, MN
NPI1508265331
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MN  3298)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: MN  AG0614152)
Enumeration Date2014-08-18
Last Update Date2021-03-10
Business Address
KATIE MARIE PETERSON AGNP
3931 LOUISIANA AVE S SUITE E202
SAINT LOUIS PARK, MN 55426-5000
Phone number: 952-993-9184
Mailing Address
KATIE MARIE PETERSON AGNP
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number: