person
Mary E Peterson, CANP
Adult Health Nurse Practitioner in Stockholm, Wisconsin
NPI 1083621445

Mary E Peterson is an Adult Health Nurse Practitioner based in Stockholm, WI and is specialized in Adult Health. Mary E Peterson practices in Stockholm, WI and has the professional credentials of CANP. The NPI Number for Mary E Peterson is 1083621445 and holds a License No. 0360774 (Wisconsin).

The current practice location address for Mary E Peterson is W12070 State Highway 35, Stockholm, WI and can be reached out via phone at 715-821-8532 and via fax at 715-598-6202.

Location: W12070 State Highway 35, Stockholm, WI, 54769-6127
person
Provider Profile Details
NPI Number
1083621445
Provider Name
Mary E Peterson
Credential
CANP
Provider Entity Type
Individual
Gender
Female
Address
W12070 State Highway 35, Stockholm, WI, 54769-6127
Phone Number
715-821-8532
Fax Number
715-598-6202
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0404556 01 MN MEDICA
090M9PE 01 MN BLUE CROSS BLUE SHIELD
243994800 05 MN
institution
Provider Business Practice Location Address Details
Address
W12070 State Highway 35
City
State
Zip
54769-6127
Phone Number
715-821-8532
Fax Number
715-598-6202
person
Provider Business Mailing Address Details
Address
W12070 State Highway 35
City
State
Zip
54769-6127
Phone Number
715-821-8532
Fax Number
715-598-6202
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
4576-033 (Wisconsin)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
0360774 (Minnesota)
Definition
Definition to come...
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