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

AMANDA VANCENE PETERSON, AGACNP

Active Sole Proprietor

AMANDA VANCENE PETERSON, AGACNP is a Acute Care Nurse Practitioner healthcare provider located in SAINT PAUL, Minnesota. NPI 1255077202 is currently active in the NPPES registry. Verify at CMS.

Acute Care Nurse Practitioner · SAINT PAUL, MN

Registration Details

NPI Number
1255077202
Provider Type
Individual
Gender
Female
NPI Issued
May 11, 2022 (4.2196677801006 yrs)
Last Updated
Jan 16, 2023
Licenses
1750728 (MN)
00000 (MN)
9286 (MN)
Sole Proprietor
Yes

Practice Information

Address
225 SMITH AVE N STE 501
SAINT PAUL, MN, 551022545
Browse MN providers · Browse ZIP 55102
Phone
6517266200
Primary Specialty
Acute Care Nurse Practitioner
363LA2100X
Additional Specialty
Acute Care Nurse Practitioner
Additional Specialty
Acute Care Nurse Practitioner

Other Acute Care Nurse Practitioner Providers in SAINT PAUL, MN

Name Credential NPI
MS. REBECCA ANN WIEBEN CNP 1174717847
MISS AMY LYN WETZEL NP 1952676421
KATHLEEN ADELE JACKSON AG-ACNP 1699108209
MRS. NICOLE KALAMITSIOTIS AGACNP 1457778623
TIFFANY J RADKE APN 1730588823
JENNIFER L MIKKELSON NP 1700300720
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.