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

MRS. ROXANNE L PETERSON, RN

Active Sole Proprietor

MRS. ROXANNE L PETERSON, RN is a Home Health Nurse healthcare provider located in EAST BETHEL, Minnesota. NPI 1356649180 is currently active in the NPPES registry. Verify at CMS.

Home Health Nurse · EAST BETHEL, MN

Registration Details

NPI Number
1356649180
Provider Type
Individual
Gender
Female
NPI Issued
Mar 2, 2011 (15.428840283957 yrs)
Last Updated
Mar 2, 2011
License
R 160305-3 (MN)
Sole Proprietor
Yes

Practice Information

Address
2849 227TH LN NE
EAST BETHEL, MN, 550059208
Browse MN providers · Browse ZIP 55005
Phone
7634340747
Primary Specialty
Home Health Nurse
163WH0200X
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.