Individual
AUDREY J PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2900 W OKLAHOMA AVE, 5TH FL, MILWAUKEE, WI 53215-4330
(414) 649-5410
Mailing address
2900 W OKLAHOMA AVE, 5TH FL, MILWAUKEE, WI 53215-4330
(414) 649-5410
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3697
WI
Other
Enumeration date
03/26/2009
Last updated
03/26/2009
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