Peterson, Renee P

Peterson, Renee P is an sole proprietor health care provider with primary practice located at 1 Burdick Expy W , Minot ND 58701-4406. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Peterson, Renee P can be contacted via phone (701) 857-5124.

Contact Information

Primary practice address
1 Burdick Expy W Minot ND 58701-4406
Phone: (701) 857-5124
Fax: (701) 857-3264
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1132 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R23794 North Dakota

Profile Details

NPI number 1093886137
LBN Legal business name Peterson, Renee P
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2006
Last updated Dec 8th, 2020 - about 5 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 1093886137 NPPES
North Dakota MEDICAID 12675

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