Joelle Peterson, - Audiologist in Plymouth, MN

Joelle Peterson, is a Audiologist based in Plymouth, Minnesota. Joelle Peterson is licensed to practice in Minnesota (license number 10174) and her current practice location is 12925 16th Ave N, Plymouth, Minnesota. She can be reached at her office (for appointments etc.) via phone at (763) 745-6053.

NPI number for Joelle Peterson is 1417422445 and her current mailing address is 12925 16th Ave N, Plymouth, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417422445.

Contact Information

Joelle Peterson,
12925 16th Ave N,
Plymouth, MN 55441-4560
(763) 745-6053
(763) 745-5059



Healthcare Provider's Profile

Full NameJoelle Peterson
GenderFemale
SpecialityAudiologist
Location12925 16th Ave N, Plymouth, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417422445
  • Provider Enumeration Date: 10/05/2018
  • Last Update Date: 10/05/2018

Medical Identifiers

Medical identifiers for Joelle Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417422445NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist 10174 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Joelle Peterson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Joelle Peterson,
12925 16th Ave N,
Plymouth, MN 55441-4560

Ph: (763) 745-6053
Joelle Peterson,
12925 16th Ave N,
Plymouth, MN 55441-4560

Ph: (763) 745-6053

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Audiologist in Plymouth, MN

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Phone: 763-559-0603    Fax: 763-559-0985

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