Individual
KATIE PEPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
S2845 WHITE EAGLE RD, BARABOO, WI 53913-9064
(608) 355-1240
(608) 355-5166
Mailing address
E5139 HILLCREST DR, LOGANVILLE, WI 53943-9719
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9383-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095623
—
WI
01
—
NA
I DO NOT HAVE A NUMBER
—
Enumeration date
08/21/2019
Last updated
02/01/2022
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