Peterson, Judy L

Peterson, Judy L is an individual health care provider with primary practice located at 347 North Smith Ave Childrens Specialty Clinic Nicu, St Paul MN 55102. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Peterson, Judy L can be contacted via phone (651) 220-6210.

Contact Information

Primary practice address
347 North Smith Ave Childrens Specialty Clinic Nicu St Paul MN 55102
Phone: (651) 220-6210
Fax: (651) 220-7777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X R1013148 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X R1013148 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R1013148 Minnesota

Profile Details

NPI number 1033177985
LBN Legal business name Peterson, Judy L
Credentials CNNP CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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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