Peterson, Karlyn M

Peterson, Karlyn M is an individual health care provider with primary practice located at 1687 E Division St , River Falls WI 54022-1571. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Peterson, Karlyn M can be contacted via phone (715) 425-6701.

Contact Information

Primary practice address
1687 E Division St River Falls WI 54022-1571
Phone: (715) 425-6701
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 10075 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 148929 Wisconsin

Profile Details

NPI number 1205892098
LBN Legal business name Peterson, Karlyn M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Dec 27th, 2016 - about 8 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 1205892098 NPPES
Minnesota Other 07-01404 MEDICA
Minnesota MEDICAID 480607700 MEDICA
Minnesota Other 164365 MEDICA
Minnesota Other 46G41PE MEDICA

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