Individual
JOANNA PEKOVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3669
(414) 281-4466
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15797-33
WI
363LA2100X
Acute Care Nurse Practitioner
15797-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100313801
—
WI
Enumeration date
01/27/2025
Last updated
08/25/2025
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