Individual
JANET R PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
204 S ADAMS ST, SAINT CROIX FALLS, WI 54024-9449
(715) 483-3221
(715) 483-0539
Mailing address
204 S ADAMS ST, SAINT CROIX FALLS, WI 54024-9449
(715) 483-3221
(715) 483-0539
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
66586
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01 24269
MEDICA
WI
05
—
093660100
—
MN
01
—
235E7PE
BLUE CROSS CLINIC
MN
05
—
36007300
—
WI
01
—
66586
STATE LICENCE
WI
01
—
HP69858
HEALTHPARTNERS
WI
01
—
NA9031047699
PREFERRED ONE
WI
Enumeration date
07/24/2006
Last updated
02/02/2021
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