Search › Wisconsin › 363L00000X
Tara Peterson, APNP
NPI 1144045444 · on the registry since 2024
Practice
- Address
- 2654 S Oneida St Stop 102
Green Bay, WI 54304 - Phone
- (888) 938-3838
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 163W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin