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Michelle K Petersen, NP
Adult Health Nurse Practitioner in Two Rivers, Wisconsin
NPI 1700041472

Michelle K Petersen is an Adult Health Nurse Practitioner based in Two Rivers, WI and is specialized in Adult Health. Michelle K Petersen practices in Two Rivers, WI and has the professional credentials of NP. The NPI Number for Michelle K Petersen is 1700041472 and holds a License No. 8589-033 (Wisconsin).

The current practice location address for Michelle K Petersen is 5300 Memorial Dr, Two Rivers, WI and can be reached out via phone at 920-793-7400.

Location: 5300 Memorial Dr, Two Rivers, WI, 54241-3923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700041472
Provider Name
Michelle K Petersen
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
5300 Memorial Dr, Two Rivers, WI, 54241-3923
Phone Number
920-793-7400
Fax Number
Provider Enumeration Date
07/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100080774 05 WI
institution
Provider Business Practice Location Address Details
Address
5300 Memorial Dr
City
Two Rivers
State
Wisconsin
Zip
54241
Phone Number
920-793-7400
Fax Number
person
Provider Business Mailing Address Details
Address
5300 Memorial Dr
City
Two Rivers
State
Wisconsin
Zip
54241
Phone Number
920-793-7400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
8589-33 (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
363LA2200X
License No.
8589-033 (Wisconsin)
Definition
Definition to come...
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