Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eric Bradley Peterson

Individual provider Licensed Practical Nurse · NPI 1083381305

Eric Bradley Peterson is a Licensed Practical Nurse in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.

Licensed in
MN
In the registry since
2021

Practice location Address checks out

311 Spruce St
Saint Paul, MN 55101-2446
Phone: (651) 888-6800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 795917 (MN)

Record details

NPI number1083381305
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 25, 2021
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021
Mailing address311 Spruce St, Saint Paul, MN 55101-2446

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