Individual
CAROL JEAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 445-7222
(920) 445-7238
Mailing address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 445-7222
(920) 445-7238
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4378-033
WI
Other
Enumeration date
04/27/2011
Last updated
06/05/2015
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