| NPI | 1003342130 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2017-05-10 |
| Last Updated | 2020-05-20 |
| Mailing Address | 8170 33rd Ave S # Ms 21110q Bloomington, MN 55425-4516 United States Phone: (651) 254-3456 📍 View Map |
| Primary Practice Address | 640 Jackson St Saint Paul, MN 55101-2502 United States Phone: (651) 254-3456 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 390200000X – Student in an Organized Health Care Education/Training Program | — | — |
| Yes | 207R00000X – Internal Medicine | MN | 67327 |
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About NPI 1003342130
Abigail Ellen Peterson M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1003342130. The primary specialty listed is Internal Medicine. The provider is located in Saint Paul, MN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-05-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1003342130?
NPI 1003342130 belongs to Abigail Ellen Peterson M.D., a Internal Medicine in Saint Paul, MN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1003342130 active?
The current status of NPI 1003342130 in the NPPES registry is Active. The record was last updated on 2020-05-20.
What specialty is NPI 1003342130?
NPI 1003342130 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1003342130?
You can verify NPI 1003342130 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1003342130?
The primary practice address on file for NPI 1003342130 is 640 Jackson St, Saint Paul, MN 55101-2502. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1003342130 issued?
NPI 1003342130 was first issued (enumerated) on 2017-05-10. The NPPES record was last updated on 2020-05-20.
Practice Location Map
Abigail Ellen Peterson is located at 640 Jackson St, Saint Paul, MN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Abigail Ellen Peterson. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1003342130. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 67327 | MN |