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Kristina Pettersen

NPI 1750780177ActiveIndividual· Licensed Practical Nurse· Mandan, ND

Licensed Practical Nurse in Mandan, North Dakota, licensed in ND, with an NPI issued in August 2014.

Overview

NPI1750780177
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedAug 21, 2014
Last updated in NPPESAug 21, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary164W00000XL13676ND

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Licensed Practical Nurse providers in Mandan

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