Individual
MS. CRYSTAL MARIE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
525 AIRPORT DR, ONEIDA, WI 54155-9035
(920) 869-2711
Mailing address
PO BOX 365, ONEIDA, WI 54155-0365
(920) 869-2711
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
8865-33
WI
363LF0000X
Family Nurse Practitioner
Primary
8865-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
8865-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8865-33
APNP
WI
Enumeration date
11/09/2018
Last updated
08/19/2022
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