Jo A Peterson
Nurse Practitioner - Women's Health
310 Belle Ave
Mankato
, Minnesota 56001-5287
Jo A Peterson
Nurse Practitioner - Women's Health
310 Belle Ave
Mankato
, Minnesota 56001-5287
(507) 345-3287
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Jo A Peterson
- 617 Baker Ave
- Mankato, MN
- Zip : 56001-2502
- Phone : (507) 345-3287
Second Address
- Jo A Peterson
- 310 Belle Ave
- Mankato, MN
- Zip : 56001-5287
- Phone : (507) 387-5581
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | R090431-3 | MN |
National Provider Identifier
| NPI | 1073584371 |
|---|---|
| Provider Name | Jo A Peterson |
| First Address | Mankato, MN 56001-2502 |
| Second Address | Mankato, MN 56001-5287 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/01/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 07-02759 | MEDICA (01) | |
| 1016958 | PREFERRED ONE (01) | |
| 1069924 | AMERICA'S PPO (ARAZ) (01) | |
| 111464 | UCARE (01) | |
| 20342 | SIOUX VALLEY HEALTH PLAN (01) | |
| 615S9PE | BCBS MN (01) | MN |
| HP21605 | HEALTH PARTNERS (01) | |
| P49029 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.