Laura K Petry in Roseville - Pediatrics

Laura K Petry - NPI 1205930567

Laura K Petry is a Pediatrics in Roseville, Minnesota. Laura K Petry practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Laura K Petry is 1205930567. The last update date is 2007-07-08.

Laura K Petry's current location address is 2910 Centre Pointe Drive, Roseville, Minnesota. You can contact this provider via phone number 6518552327 and fax number 6518552310. The mailing address for Laura K Petry is 2910 Centre Pointe Drive, Roseville, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Laura K Petry
Address 2910 Centre Pointe Drive, Roseville, Minnesota
Phone Number 6518552327
Fax Number 6518552310
Sole Proprietor N
Credentials CPNP

NPI Number Detail

NPI Number 1205930567
Provider Enumeration Date 2006-09-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2910 Centre Pointe Drive
City Roseville
State Minnesota (MN)
Post Code 55113
Phone Number 6518552327
Fax Number 6518552310

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No R1218309
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

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FAQs about Laura K Petry

What is the Laura K Petry's unique identification number?

The Laura K Petry has been assigned the NPI (National Provider Identifier) Number 1205930567 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Laura K Petry is physically located?

The Laura K Petry is situated at the following address: 2910 Centre Pointe Drive, Roseville, MN 55113.

What is Laura K Petry's specialized field of practice, and what is the corresponding taxonomy classification code?

The Laura K Petry's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 363Lp0200X.

On what date did the Centers for Medicare & Medicaid Services issue the 1205930567 to Laura K Petry?

The Laura K Petry received its 1205930567 assignment from the Centers for Medicare & Medicaid Services on 2006-09-08.

When was the information related to Laura K Petry most recently updated or refreshed?

The details pertaining to the Laura K Petry, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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