IndividualActive
Amanda Peterson, AGACNP
NPI 1255077202 · Acute Care Nurse Practitioner · Saint Paul, MN
Provider details
- NPI number
- 1255077202
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1750728 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
225 Smith Ave N Ste 501
Saint Paul, MN 55102-2545
Phone: (651) 726-6200
Approximate (ZIP-level) locationGet directions
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Registry dates
- Enumerated
- 2022-05-11
- Last updated
- 2023-01-16
- Certified
- 2023-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.