Pederson, Erin Marie

Pederson, Erin Marie is an individual health care provider with primary practice located at 251 County Road 120 , Saint Cloud MN 56303-4872. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Pederson, Erin Marie can be contacted via phone (320) 529-4687.

Contact Information

Primary practice address
251 County Road 120 Saint Cloud MN 56303-4872
Phone: (320) 529-4687
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1491 Minnesota

Profile Details

NPI number 1669781381
LBN Legal business name Pederson, Erin Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2010
Last updated Mar 29th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669781381 NPPES
Minnesota MEDICAID 1669781381

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