Individual
STEPHANIE MARIE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1567 DECKNER AVE, GREEN BAY, WI 54302-2617
(920) 272-7443
Mailing address
1567 DECKNER AVE, GREEN BAY, WI 54302-2617
(920) 272-7443
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
150144-30
WI
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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