NPI Index

JUDY PETERSON, CNNP CPNP

Nurse Practitioner - Pediatrics

Active Individual
NPI: 1033177985

Practice Address

347 NORTH SMITH AVE
CHILDRENS SPECIALTY CLINIC NICU
St Paul, MN 55102

Phone: (651) 220-6210

Specialties

Specialty Code Primary License
Nurse Practitioner - Neonatal 363LN0000X No R1013148 (MN)
Nurse Practitioner - Neonatal, Critical Care 363LN0005X No R1013148 (MN)
Nurse Practitioner - Pediatrics 363LP0200X Yes R1013148 (MN)

Frequently Asked Questions

NPI 1033177985 is the National Provider Identifier for JUDY PETERSON, CNNP CPNP, a Nurse Practitioner - Pediatrics provider located in St Paul, MN. This NPI was enumerated on May 2, 2006.
JUDY PETERSON, CNNP CPNP practices at 347 NORTH SMITH AVE, CHILDRENS SPECIALTY CLINIC NICU, St Paul, MN 55102.

Quick Facts

NPI
1033177985
Type
Individual
Enumerated
May 2, 2006
Last Updated
Sep 11, 2025

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