MRS. DEBRA J PETERSON (NPI# 1356450860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356450860 |
| Entity Type | Individual |
| Full Name | MRS. DEBRA J PETERSON |
| Credential | RN, CFNP |
| Practice Address |
12450 Wayzata Blvd Suite 215 Minnetonka MN 55305-1978 |
| Mailing Address |
2271 Forest Shores Rd Ogilvie MN 56358-3927 |
| Practice Telephone | 9525466866 |
| Practice Fax Number | 9525120038 |
| Mailing Telephone | 9525466866 |
| Mailing Fax Number | 9525120038 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790231231 | Debra Peterson | Dentist | 32 Atchinson Stage Ct, Clayton, CA 94517-1101 | 2016-08-25 |
| 1699109868 | Debra Theresa Peterson I | Licensed Vocational Nurse | 38454 N Carolina Ave, San Tan Valley, AZ 85140-5835 | 2013-08-23 |
| 1023341435 | Debra Lynn Peterson | Counselor | 425 W Griggs Ave, Las Cruces, NM 88005-2605 | 2009-09-16 |
| 1306034129 | Debra Jane Peterson | Registered Nurse | 50 N Walkup Ave, Crystal Lake, IL 60014-4316 | 2007-10-05 |
| 1841357548 | Debra Sue Peterson | Chiropractor | 1952 N Tustin St, Orange, CA 92865-4644 | 2007-01-02 |
| 1780766691 | Debra Shereta Peterson | Homeopath | 202 Lakeview Dr, Newport News, VA 23602-6414 | 2006-10-19 |
| 1285725895 | Debra Diane Peterson | Physician Assistant | 185 East 7th Ave, Suite D, Chico, CA 95926 | 2006-09-27 |
| 1073510327 | Debra E Peterson | Physical Therapist | 8415 Wann Dr, Madison, AL 35758-9534 | 2005-07-01 |
| 1467720318 | Debra L Peterson | Counselor | 2100 Campus Dr Se, Suite 200, Rochester, MN 55904-4831 | 2011-12-07 |
| 1770603813 | Debra Irene Peterson | Counselor | 300 2nd Ave Ne, Suite 221, Jamestown, ND 58401-3373 | 2007-03-30 |
| Street Address |
12450 WAYZATA BLVD SUITE 215 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-1978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720072234 | Laura Ellen Hart | Nurse Practitioner | 12450 Wayzata Blvd, Suite 215 Ridge Plaza, Minnetonka, MN 55305-1978 | 2005-09-12 |
| 1184788614 | Swanson Family Dentristry Pa | Dentist | 12450 Wayzata Blvd, Ste 214, Minnetonka, MN 55305-1934 | 2006-12-20 |
| 1295898666 | Matthew Frederick Gundlach | Psychologist | 12450 Wayzata Blvd, Suite 205, Minnetonka, MN 55305-1978 | 2006-12-18 |
| 1215008156 | Pamela Kaye Mcnallan | Physician Assistant | 12450 Wayzata Blvd, Suite 215, Minnetonka, MN 55305-1978 | 2006-11-13 |
| 1386745966 | Heidi Louise Driscoll | Marriage & Family Therapist | 12450 Wayzata Blvd, Suite 201, Minnetonka, MN 55305-1978 | 2006-09-26 |
| 1619994696 | Advancements In Allergy and Asthma Care Ltd | Clinic/Center | 12450 Wayzata Blvd, Suite 215, Minnetonka, MN 55305-1978 | 2006-07-16 |
| 1093732984 | Michael Ross Wexler | Allergy & Immunology | 12450 Wayzata Blvd, Suite 215, Minnetonka, MN 55305-1978 | 2006-07-16 |
| 1245212802 | James Timothy Swanson | Dentist | 12450 Wayzata Blvd, 214, Minnetonka, MN 55305-1934 | 2005-11-18 |
| 1154303717 | Justin Skjei Swanson | Dentist | 12450 Wayzata Blvd, 214, Minnetonka, MN 55305-1934 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586235 | Jackelyn Laura Peterson | Nurse Practitioner | 10101 Bren Rd E Unit 345, Minnetonka, MN 55343-0060 | 2020-10-26 |
| 1851766356 | Enrique Mendoza Rojas | Nurse Practitioner | 9900 Ben Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2015-12-09 |
| 1013307230 | Susanna Monroe | Nurse Practitioner | Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343 | 2015-01-26 |
| 1437596087 | Lisa M Rocca | Nurse Practitioner | 990 Bren Road East, Minnetonka, PA 55343 | 2013-05-22 |
| 1215224092 | Nicole Marie Jenabzadeh | Nurse Practitioner | 130 Cheshire Ln Ste 100, Minnetonka, MN 55305-0002 | 2011-06-30 |
| 1174824858 | Dawn Marie Mcglothin | Nurse Practitioner | 9900 Bren Rd E Ste 300w, Minnetonka, MN 55343-4402 | 2010-11-11 |
| 1437281433 | Leslie Christine Strath | Nurse Practitioner | Unitedhealth Group, 9900 Bren Rd E, Minnetonka, MN 55343 | 2007-03-12 |
| 1720072234 | Laura Ellen Hart | Nurse Practitioner | 12450 Wayzata Blvd, Suite 215 Ridge Plaza, Minnetonka, MN 55305-1978 | 2005-09-12 |
| 1194720557 | Dawn M Berger | Nurse Practitioner | 9900 Bren Rd E, Mail Route Mn 008-b213, Minnetonka, MN 55343-9664 | 2005-06-14 |
| 1104828276 | Jayne Ellen Peak | Nurse Practitioner | 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2005-06-02 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
Please comment or provide details below to improve the information on MRS. DEBRA J PETERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.