NPI 1003809062

Barbara Lynn Peterson, PA

Practitioner Medical Physician Assistant Saint Paul, MN

Practice location

Address: 1619 Dayton Ave STE 205, Saint Paul, MN 55104-6206
Phone: (651) 645-0478
Fax: (651) 642-2523
Mailing address: 1515 Fairmount Ave, Saint Paul, MN 55105-2315

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 8983 (MN)

Other Physician Assistant providers in Minnesota →

Registry record

NPI: 1003809062
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Aug 2005
Record last updated: 8 Jul 2007

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.