Peterson, Heidi J

Peterson, Heidi J is an individual health care provider with primary practice located at 1600 2Nd Ave Sw Ste 19 , Minot ND 58701-3459. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Peterson, Heidi J can be contacted via phone (701) 852-4600.

Contact Information

Primary practice address
1600 2Nd Ave Sw Ste 19 Minot ND 58701-3459
Phone: (701) 852-4600
Fax: (701) 852-4644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R28403 North Dakota

Profile Details

NPI number 1578681995
LBN Legal business name Peterson, Heidi J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Apr 7th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578681995 NPPES
Minnesota MEDICAID PENDING

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