Individual
EMMA PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, FNP-BC, APN
Contact information
Practice address
11333 W NATIONAL AVE, MILWAUKEE, WI 53227-3111
(414) 329-4979
Mailing address
2808 W JUNEAU AVE, MILWAUKEE, WI 53208
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
195659-30
WI
363L00000X
Nurse Practitioner
Primary
8842
WI
363LF0000X
Family Nurse Practitioner
8842-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447732110
—
WI
Enumeration date
08/30/2018
Last updated
01/16/2026
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