TRACY PETERSON, NURSE PRACTIONER
Nurse Practitioner
Active
Individual
NPI: 1619058740
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | 2967-033 (WI) |
Frequently Asked Questions
NPI 1619058740 is the National Provider Identifier for TRACY PETERSON, NURSE PRACTIONER, a Nurse Practitioner provider located in Wauwatosa, WI. This NPI was enumerated on October 17, 2006.
TRACY PETERSON, NURSE PRACTIONER practices at 3077 N MAYFAIR RD STE 305, Wauwatosa, WI 53222.
Quick Facts
- NPI
- 1619058740
- Type
- Individual
- Enumerated
- Oct 17, 2006
- Last Updated
- Dec 7, 2023
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