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MISS SALLY GLADYS PETERSON
NPI 1629709936
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since June 19, 2022
2515 UNIVERSITY AVE SE APT 101W, MINNEAPOLIS, MN 55414(507) 481-4649 Get Directions Write a Review

NPPES record last updated: June 19, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Miss Sally Gladys Peterson NPPES

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

MISS SALLY GLADYS PETERSON (NPI 1629709936) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1629709936
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMISS SALLY GLADYS PETERSON
Location Address2515 UNIVERSITY AVE SE APT 101WMinneapolis, MN 55414-3257
Mailing Address2515 University Ave Se Apt 101wMinneapolis, MN 55414-3257 · (507) 481-4649
Phone(507) 481-4649
Sole ProprietorYes
Enumeration DateJune 19, 2022
NPPES CertifiedJune 19, 2022
✔ NPI 1629709936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2515 UNIVERSITY AVE SE APT 101W, Minneapolis, MN 55414
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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 Sally Peterson's NPI number?

The NPI number for Sally Peterson is 1629709936. It was assigned to this individual provider in the NPPES registry on June 19, 2022.

Where is Sally Peterson located?

Sally Peterson practices at 2515 University Ave SE Apt 101W, Minneapolis, MN 55414. The listed phone number is (507) 481-4649.

What is Sally Peterson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Sally Peterson was last updated on June 19, 2022. 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.