Katie L Peterson

NPI 1740453141 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1740453141
Gender Female
Enumeration Date 04/07/2008
Last Updated 11/19/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
2845 GREENBRIER RD
GREEN BAY WI, 54311-6519, US
Phone (920) 288-3388
Fax
Business Location
164 N BROADWAY
GREEN BAY WI, 54303-2728, US
Phone (920) 965-4055
Fax
Toxanomy
Taxonomy Code 367500000X
License State Minnesota
License Number 079274
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According to our database, Katie L Peterson NPI is 1740453141, taxonomy code is 367500000X and license number is 079274, license state is located at Minnesota. Katie L Peterson physically located at 2845 Greenbrier Rd, Green Bay WI, 54311-6519. NPI Number Katie L Peterson has the Individual type.

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1740453141 NPI number is provided on an as is basis without warranty of any kind. 1740453141 is maintained by the National Plan & Provider Enumeration System. The contents of Katie L Peterson are for informational purposes only.