Individual
SUSAN L HARRIS-PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
10701 W RESEARCH DR, WAUWATOSA, WI 53226-3452
(262) 565-8928
Mailing address
10701 W RESEARCH DR, WAUWATOSA, WI 53226-3452
(262) 565-8928
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3701-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982841862
—
WI
Enumeration date
01/14/2009
Last updated
08/23/2015
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