Mary E Peterson in Stockholm - Nurse Practitioner
Mary E Peterson - NPI 1083621445
Mary E Peterson is a Nurse Practitioner in Stockholm, Wisconsin. Mary E Peterson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mary E Peterson is 1083621445. The last update date is 2015-01-23.
Mary E Peterson's current location address is W12070 State Highway 35, Stockholm, Wisconsin. You can contact this provider via phone number 7158218532 and fax number 7155986202. The mailing address for Mary E Peterson is W12070 State Highway 35, Stockholm, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary E Peterson |
|---|---|
| Address | W12070 State Highway 35, Stockholm, Wisconsin |
| Phone Number | 7158218532 |
| Fax Number | 7155986202 |
| Sole Proprietor | N |
| Credentials | CANP |
NPI Number Detail
| NPI Number | 1083621445 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2015-01-23 |
Provider Mailing Address Detail
| Address | W12070 State Highway 35 |
|---|---|
| City | Stockholm |
| State | Wisconsin (WI) |
| Post Code | 547696127 |
| Phone Number | 7158218532 |
| Fax Number | 7155986202 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 360774 |
|
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 certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 404556 | MN | MEDICA | |
| 090M9PE | MN | BLUE CROSS BLUE SHIELD | |
| 243994800 | MN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mary E Peterson?
The Mary E Peterson has been issued the NPI (National Provider Identifier) 1083621445 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mary E Peterson's facilities are situated?
The facilities of Mary E Peterson are physically located at the following address: W12070 State Highway 35, Stockholm, WI, 547696127.
What is Mary E Peterson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary E Peterson is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
On what date did Mary E Peterson receive its 1083621445 assignment from the Centers for Medicare & Medicaid Services?
The Mary E Peterson was assigned its 1083621445 on 2006-08-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mary E Peterson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary E Peterson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-01-23.
NPI Number: 1396748448
Address: 100 Metropolitan Drive Associated Medical Professionals, Liverpool, NY
NPI Number: 1952304982
Address: 310 Lafayette Ave Se Ste 410, Grand Rapids, MI
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI