Individual
JUNE MARIE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
835 S MAIN ST, STE 2, OCONTO FALLS, WI 54154-1282
(920) 846-9995
(920) 846-8031
Mailing address
835 S MAIN ST, STE 2, OCONTO FALLS, WI 54154-1282
(920) 846-9995
(920) 846-8031
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1296-33
WI
363L00000X
Nurse Practitioner
52609-030
WI
363LW0102X
Women's Health Nurse Practitioner
1296-33
WI
363LW0102X
Women's Health Nurse Practitioner
52609-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11014110
—
WI
01
—
1821216276
CLINIC NPI
WI
01
—
1851477913
CMH NPI
WI
Enumeration date
11/22/2005
Last updated
11/20/2017
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