Individual
ANGELINA ONOFRE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
N20W22961 WATERTOWN RD, WAUKESHA, WI 53186-1306
(262) 875-5070
(866) 384-9486
Mailing address
N20W22961 WATERTOWN RD, WAUKESHA, WI 53186-1306
(262) 875-5070
(866) 384-9486
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209022919
IL
363LP2300X
Primary Care Nurse Practitioner
1149333
WI
Other
Enumeration date
05/21/2021
Last updated
02/01/2023
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