Individual
MRS. NANCY PETROSKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14640 WOODLAND PLACE, BROOKFIELD, WI 53005
(262) 790-0933
Mailing address
4120 N LILLY RD, BROOKFIELD, WI 53005
(262) 781-4189
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
116777-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39860700
—
WI
Enumeration date
02/06/2006
Last updated
07/08/2007
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