IndividualActive
Shelley Peterson
NPI 1770134793 · Attendant Care Provider · Coon Rapids, MN
Provider details
- NPI number
- 1770134793
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
10311 Bittersweet St Nw
Coon Rapids, MN 55433
Phone: (763) 427-8817
Approximate (ZIP-level) locationGet directions
Mailing address
10311 Bittersweet St Nw
Coon Rapids, MN 55433
Registry dates
- Enumerated
- 2019-09-20
- Last updated
- 2019-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.