National Provider Identifier Database

SHANNON N PETERSON
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

SHANNON N PETERSON
3300 OAKDALE AVE N
ROBBINSDALE, MN55422
Phone: 763-520-5200
Fax:
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for SHANNON N PETERSON

NPI Number 1215690177
Credentials
Entity Individual
Enumeration date 10/18/2021
Last updated 07/12/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • MN License #: 14422
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for SHANNON N PETERSON

There are currently no reviews for SHANNON N PETERSON


NPIdb - Home
v2.201