Michelle K Petersen in Two Rivers - Nurse Practitioner
Michelle K Petersen - NPI 1700041472
Michelle K Petersen is a Nurse Practitioner in Two Rivers, Wisconsin. Michelle K Petersen practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Michelle K Petersen is 1700041472. The last update date is 2021-11-30.
Michelle K Petersen's current location address is 5300 Memorial Dr, Two Rivers, Wisconsin. You can contact this provider via phone number 9207937400. The mailing address for Michelle K Petersen is 5300 Memorial Dr, Two Rivers, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle K Petersen |
|---|---|
| Address | 5300 Memorial Dr, Two Rivers, Wisconsin |
| Phone Number | 9207937400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1700041472 |
|---|---|
| Provider Enumeration Date | 2008-07-22 |
| Last Updated Date | 2021-11-30 |
Provider Mailing Address Detail
| Address | 5300 Memorial Dr |
|---|---|
| City | Two Rivers |
| State | Wisconsin (WI) |
| Post Code | 542413923 |
| Phone Number | 9207937400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 8589-033 |
|
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 |
|---|---|---|---|
| 100080774 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michelle K Petersen by the Centers for Medicare & Medicaid Services (CMS)?
The Michelle K Petersen has been assigned the NPI (National Provider Identifier) 1700041472. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Michelle K Petersen is geographically located?
The Michelle K Petersen is physically situated at the following location: 5300 Memorial Dr, Two Rivers, WI, 542413923.
What is the area of specialization for Michelle K Petersen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michelle K Petersen is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700041472 to Michelle K Petersen?
The Centers for Medicare & Medicaid Services originally issued the 1700041472 to Michelle K Petersen on 2008-07-22.
As of what date was the information pertaining to Michelle K Petersen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michelle K Petersen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-11-30.
NPI Number: 1568460681
Address: 830 S. Addison Avenue, Villa Park, IL
NPI Number: 1922080514
Address: 2245 Plantation Center Dr Ste 57, Fleming Island, FL