KATIE L PETERSON

GREEN BAY, WI
NPI1740453141
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WI  13465-33)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: MN  490)
367500000X Nurse Anesthetist, Certified Registered
(Licence: ND  R53714)
Enumeration Date2008-04-07
Last Update Date2024-02-21
Business Address
KATIE L PETERSON
835 S VAN BUREN ST
GREEN BAY, WI 54301-3526
Phone number: 920-857-0894
Mailing Address
KATIE L PETERSON
835 S VAN BUREN ST
GREEN BAY, WI 54301-3526
Phone number: