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ERIC BRADLEY PETERSON
NPI 1083381305
Licensed Practical Nurse in Saint Paul, MN

Active since August 25, 2021
311 SPRUCE ST, SAINT PAUL, MN 55101(651) 888-6800 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eric Bradley Peterson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC BRADLEY PETERSON (NPI 1083381305) is an individual licensed practical nurse in Saint Paul, Minnesota, licensed in Minnesota (795917) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1083381305
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameERIC BRADLEY PETERSON
Location Address311 SPRUCE STSaint Paul, MN 55101-2446
Mailing Address311 Spruce StSaint Paul, MN 55101-2446 · (651) 888-6800 · Fax (651) 888-6839
Phone(651) 888-6800
Sole ProprietorNo
Enumeration DateAugust 25, 2021
NPPES CertifiedAugust 25, 2021
✔ NPI 1083381305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MN · 795917
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
311 SPRUCE ST, Saint Paul, MN 55101
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPECIALIZED TREATMENT SERVICES, INC.
Clinic/Center (Methadone)
311 SPRUCE ST
SAINT PAUL, MN 55101
Ramsey County (763) 236-1700
CRYSTAL MARIE CZERWINSKI LPN
Licensed Practical Nurse
311 SPRUCE ST
SAINT PAUL, MN 55101
Ramsey County (651) 888-6822
KERI ANNE ROSENCRANTZ LPN
Licensed Practical Nurse
311 SPRUCE ST
SAINT PAUL, MN 55101
Ramsey County (651) 888-6823
KAMA LAB TECH, INC
Clinical Medical Laboratory
311 SPRUCE ST
SAINT PAUL, MN 55101
Ramsey County (651) 888-6800
TRAVIS FIGURA BS
Counselor (Addiction (Substance Use Disorder))
311 SPRUCE ST
SAINT PAUL, MN 55101
Ramsey County (651) 888-6815

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Peterson's NPI number?

The NPI number for Eric Peterson is 1083381305. It was assigned to this individual provider in the NPPES registry on August 25, 2021.

Where is Eric Peterson located?

Eric Peterson practices at 311 Spruce St, Saint Paul, MN 55101. The listed phone number is (651) 888-6800.

What is Eric Peterson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Eric Peterson was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.