Nicole S Petersen, NP | |
2200 Nw 26th St, Owatonna, MN 55060-5503 | |
(507) 451-1120 | |
Not Available |
Full Name | Nicole S Petersen |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2200 Nw 26th St, Owatonna, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255055950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 23225-875 (Wisconsin) | Secondary |
363L00000X | Nurse Practitioner | 9548 (Minnesota) | Primary |
Entity Name | St. Croix Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20040205000217 |
Mailing Address | Practice Location Address |
---|---|
Nicole S Petersen, NP 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Nicole S Petersen, NP 2200 Nw 26th St, Owatonna, MN 55060-5503 Ph: (507) 451-1120 |
Mr. Adam Christopher Brandl, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Nw 26th St, Owatonna, MN 55060 Phone: 507-444-5041 | |
Karissa Kay Buck, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2200 Nw 26th St, Owatonna, MN 55060 Phone: 507-456-2180 | |
Amy Louise Haycraft, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: South Central Human Relations Center, 610 Florence Ave, Owatonna, MN 55060 Phone: 507-451-2630 | |
Jessica K Phelps, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Nw 26th St, Owatonna, MN 55060 Phone: 507-451-1120 | |
Mrs. Janice Kubat, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4656 Sw 38th St, Owatonna, MN 55060 Phone: 507-213-0587 | |
Mrs. Deanna Leigh Collins, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 Florence Ave, Owatonna, MN 55060 Phone: 507-451-2630 Fax: 507-455-8133 |