Individual
BETH ALYSSA PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
710 ARCADIAN AVE, WAUKESHA, WI 53186-5110
(920) 251-7334
Mailing address
710 ARCADIAN AVE, WAUKESHA, WI 53186-5110
(920) 251-7334
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
168120-30
WI
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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