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

KATIE MARIE PETERSON, AGNP

Active Sole Proprietor

KATIE MARIE PETERSON, AGNP is a Nurse Practitioner healthcare provider located in SAINT LOUIS PARK, Minnesota. NPI 1508265331 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · SAINT LOUIS PARK, MN

Registration Details

NPI Number
1508265331
Provider Type
Individual
Gender
Female
NPI Issued
Aug 18, 2014 (11.947689610588 yrs)
Last Updated
Mar 10, 2021
Licenses
AG0614152 (MN)
3298 (MN)
Sole Proprietor
Yes

Practice Information

Address
3931 LOUISIANA AVE S
SUITE E202
SAINT LOUIS PARK, MN, 554265000
Browse MN providers · Browse ZIP 55426
Phone
9529939184
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in SAINT LOUIS PARK, MN

Name Credential NPI
ERIN ELIZABETH PETERSON NP 1245664630
SHEREEN SORENSEN FNP, RN 1043800022
LILLIE COLLEEN TRUSKOWSKI APRN 1700652096
SHANNON NOELLE PLANTENBERG NP 1891524435
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.