Terri Jo Peterson
Nurse Practitioner - Neonatal
4050 Coon Rapids Blvd Nw
Coon Rapids
, Minnesota 55433-2522
Terri Jo Peterson
Nurse Practitioner - Neonatal
4050 Coon Rapids Blvd Nw
Coon Rapids
, Minnesota 55433-2522
(612) 262-4194
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Terri Jo Peterson
- Po Box 43 Mr 10809
- Minneapolis, MN
- Zip : 55440-0043
- Fax : (612) 262-4194
- Phone : (612) 262-4813
Second Address
- Terri Jo Peterson
- 4050 Coon Rapids Blvd Nw
- Coon Rapids, MN
- Zip : 55433-2522
- Phone : (763) 236-6000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | R087651-9 | MN |
National Provider Identifier
| NPI | 1194785295 |
|---|---|
| Provider Name | Terri Jo Peterson |
| First Address | Minneapolis, MN 55440-0043 |
| Second Address | Coon Rapids, MN 55433-2522 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/03/2006 |
| Last Update Date | 08/07/2007 |
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.