Individual
AMBER N PETERSEN KUEMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CRNA
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-3388
(920) 288-3370
Mailing address
6235 PINE GROVE RD, LUXEMBURG, WI 54217-9350
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
159301
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
089867
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598042285
—
WI
Enumeration date
11/08/2011
Last updated
03/13/2025
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