Individual
JOYCE MONICA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
12160 N RIVER RD, MEQUON, WI 53092-2218
(262) 242-0291
(262) 242-0291
Mailing address
12160 N RIVER RD, MEQUON, WI 53092-2218
(262) 242-0291
(262) 242-0291
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
58491-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38223000
—
WI
Enumeration date
01/29/2007
Last updated
07/08/2007
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