Individual
GINA PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
5800 W. LAYTON AVE, GREENFIELD, WI 53220
(262) 532-3067
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3666
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
196508
WI
363LP2300X
Primary Care Nurse Practitioner
Primary
196508
WI
Other
Enumeration date
10/17/2019
Last updated
11/14/2025
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