Individual
PAITYN LANA PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
312 S 7TH ST, DELAVAN, WI 53115-1964
(262) 728-1849
Mailing address
W1571 HUNTERS LN, HELENVILLE, WI 53137-9773
(262) 424-8120
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
15140-33
WI
Other
Enumeration date
03/07/2024
Last updated
04/02/2024
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