NPI 1003621137
Mandy Jo Peterson
Practice location
- Address
- 15 Riverside Dr NE, Saint Cloud, MN 56304-0435
- Phone
- (320) 309-0679
- Mailing address
- 1936 Linda Ln, Saint Cloud, MN 56301-4968
Registered specialties
Registered Nurse
Primary
Registry record
- NPI
- 1003621137
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Feb 2025
- Record last updated
- 7 Feb 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.