Individual
MS. ALICIA ST PETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2629 N 7TH ST, SHEBOYGAN, WI 53083-4932
(920) 451-5000
(920) 451-5333
Mailing address
115 N SWEETWATER BLVD, PORT WASHINGTON, WI 53074-2657
(920) 476-6400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
196055
WI
363L00000X
Nurse Practitioner
Primary
7189
WI
363LF0000X
Family Nurse Practitioner
7189-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100065455
—
WI
Enumeration date
09/05/2014
Last updated
07/05/2023
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