Individual
MICHELLE K PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5300 MEMORIAL DR, TWO RIVERS, WI 54241
(920) 793-7400
Mailing address
5300 MEMORIAL DR, TWO RIVERS, WI 54241-3923
(920) 793-7400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8589-033
WI
363LA2200X
Adult Health Nurse Practitioner
8589-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080774
—
WI
Enumeration date
07/22/2008
Last updated
11/30/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us