Ethan Petersen is a Saint Cloud, Minnesota based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Ethan Petersen is R 193342-2 for Anesthesia Administration in Minnesota. his current practice location is 1406 6th Ave N, Saint Cloud. Patients can reach him at 320-251-2700. Ethan Petersen is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1851615108. Ethan Petersen is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Ethan Petersen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Gender:
Male
Practice Address:
1406 6th Ave N, Saint Cloud, Minnesota, 56303-1900
Phone:
320-251-2700
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1851615108
NPI Enumeration Date:
16 Mar, 2010
NPI Last Update On:
16 Mar, 2010
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ethan Petersen are as mentioned below.
License Number
Specialization
State
Status
R 193342-2
Anesthesia Administration
Minnesota
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3701 12th St N, Suite 202 Saint Cloud, Minnesota
Zip:
56303-2255
Phone Number:
320-258-3090
Fax Number:
--
Patients can reach Ethan Petersen at 1406 6th Ave N, Saint Cloud, Minnesota or can call to book an appointment on 320-251-2700.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.