Melissa L Peterson, FNP
Nurse Practitioner in Milwaukee, WI. Individual provider (NPI-1).
NPI number1982106738
StatusActive
Last updated in NPPESApr 8, 2024
Details
- NPI
- 1982106738
- Entity type
- Individual (NPI-1)
- Name
- Melissa L Peterson
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 7, 2018
- Certification date
- Apr 8, 2024
- Last updated
- Apr 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 8172 | WI | Yes |
Practice location
2801 W Kinnickinnic River PkwyMilwaukee, WI 53215-3669
Phone 414-649-3240
Mailing address
Po Box 735044Chicago, IL 60673-5044
Phone 800-326-2250
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