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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578681995 | NPPES |
| Minnesota | MEDICAID | PENDING |
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