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

Mandy Jo Peterson

Individual provider Registered Nurse · NPI 1003621137

Mandy Jo Peterson is a Registered Nurse in Saint Cloud, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2025

Practice location Address checks out

15 Riverside Dr NE
Saint Cloud, MN 56304-0435
Phone: (320) 309-0679
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 1608485 (MN)

Record details

NPI number1003621137
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 7, 2025
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025
Mailing address1936 Linda Ln, Saint Cloud, MN 56301-4968

Other providers in Saint Cloud