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Individual

MS. CLAUDIA L PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
146 E GENEVA SQ, LAKE GENEVA, WI 53147
(877) 666-7223
Mailing address
146 E GENEVA SQ, LAKE GENEVA, WI 53147-9694
(877) 666-7223

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5378-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5378-33
WI
367500000X
Certified Registered Nurse Anesthetist
041178474
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
141089-30
WI
367500000X
Certified Registered Nurse Anesthetist
209003080
IL
367500000X
Certified Registered Nurse Anesthetist
8463-33
WI

Other

Enumeration date
08/03/2006
Last updated
04/06/2021
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