Individual
MS. WENDY JEAN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
S53W34664 MORAINE HILLS DR, DOUSMAN, WI 53118-9008
(262) 965-2395
Mailing address
S53W34664 MORAINE HILLS DR, DOUSMAN, WI 53118-9008
(262) 965-2395
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
56150-030
WI
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
56150-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39831800
RN HOME HEALTH
WI
Enumeration date
06/14/2006
Last updated
09/11/2025
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