DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MANDY JO PETERSON

Active Sole Proprietor

MANDY JO PETERSON is a Registered Nurse healthcare provider located in SAINT CLOUD, Minnesota. NPI 1003621137 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · SAINT CLOUD, MN

Registration Details

NPI Number
1003621137
Provider Type
Individual
Gender
Female
NPI Issued
Feb 7, 2025 (1.5309029269907 yrs)
Last Updated
Feb 7, 2025
License
1608485 (MN)
Sole Proprietor
Yes

Practice Information

Address
15 RIVERSIDE DR NE
SAINT CLOUD, MN, 563040435
Browse MN providers · Browse ZIP 56304
Phone
3203090679
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in SAINT CLOUD, MN

Name Credential NPI
MARTHA CHRISTENSEN RN 1679526727
DR. BARBARA C. KNUTSON DC 1205919974
DANIEL JOHN WILLIAMS D.C., MSN, RN, PHN 1558580340
GEORGE BRIDENSTINE RN 1790960599
MR. SCOTT JOHN SPANIER RN 1306014899
CARA DANIELLE SAGERHORN RN 1396911186
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.