| Doctor Name: | MS. BARBARA LYNN PETERSON |
| NPI Number: | 1003809062 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 8983 |
| Business Practice Address: | 1619 Dayton Ave Ste 205 Saint Paul, MN - 551046206 |
| Business Phone Number: | 6516450478 |
| Business Fax Number: | 6516422523 |
| Mailing Address: | 1515 Fairmount Ave, SAINT PAUL |
| State: | MN |
| Postal Code: | 551052315 |
| Phone Number: | 6516993115 |
| Fax Number: | |
| NPI Enumeration Date: | 08/25/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 8983 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |