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Joanne M Peterson, NP
Family Nurse Practitioner in Sussex, Wisconsin
NPI 1255335030

Joanne M Peterson is a Family Nurse Practitioner based in Sussex, WI and is specialized in Family. Joanne M Peterson practices in Sussex, WI and has the professional credentials of NP. The NPI Number for Joanne M Peterson is 1255335030 and holds a License No. 58398 (Wisconsin).

The current practice location address for Joanne M Peterson is N66W25201 County Highway Vv, Sussex, WI and can be reached out via phone at 262-532-8691.

Location: N66W25201 County Highway Vv, Sussex, WI, 53089-2677
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255335030
Provider Name
Joanne M Peterson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
N66W25201 County Highway Vv, Sussex, WI, 53089-2677
Phone Number
262-532-8691
Fax Number
Provider Enumeration Date
06/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1255335030 05 WI
43859300 01 MEDICAID
institution
Provider Business Practice Location Address Details
Address
N66W25201 County Highway Vv
City
Sussex
State
Wisconsin
Zip
53089-2677
Phone Number
262-532-8691
Fax Number
person
Provider Business Mailing Address Details
Address
N66W25201 County Highway Vv
City
Sussex
State
Wisconsin
Zip
53089-2677
Phone Number
262-532-8691
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
58398 (Wisconsin)
Definition
Definition to come...
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