Peterson, Andrea B

Peterson, Andrea B is an individual health care provider with primary practice located at 737 Broadway , Fargo ND 58122-0001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Peterson, Andrea B can be contacted via phone (701) 234-6060.

Contact Information

Primary practice address
737 Broadway Fargo ND 58122-0001
Phone: (701) 234-6060
Fax: (701) 234-7260
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R29648 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X R29648 North Dakota

Profile Details

NPI number 1770731473
LBN Legal business name Peterson, Andrea B
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2008
Last updated Nov 17th, 2009 - about 15 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770731473 NPPES
North Dakota MEDICAID 19930

Popular Providers