Individual
ANDREA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
151 E BADGER RD, SUITE A, MADISON, WI 53713
(608) 250-2512
Mailing address
1789 BRINGOLD DR, VERONA, WI 53593-8811
(815) 299-7814
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
194813
WI
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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