| Doctor Name: | MRS. HELEN JANE PETERSON |
| NPI Number: | 1356300297 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | R16233-6 |
| Business Practice Address: | 2300 Sioux Trl Nw Prior Lake, MN - 553729077 |
| Business Phone Number: | 9522334214 |
| Business Fax Number: | |
| Mailing Address: | 15327 Wood Duck Trl Nw, PRIOR LAKE |
| State: | MN |
| Postal Code: | 553724514 |
| Phone Number: | 9524473735 |
| Fax Number: | |
| NPI Enumeration Date: | 03/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R16233-6 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |