Search › Wisconsin › 363L00000X
Kathryn Petersen, RN
NPI 1235616269 · on the registry since 2018
Practice
- Address
- 704 S Webster Ave Ste 501
Green Bay, WI 54301 - Phone
- (920) 433-6050
- Fax
- (920) 433-6049
- Organisation at this address
- Daniel G Koster Md Sc
New Moms Of Green Bay Sc
New Dermatology Group Ltd
Green Bay Surgical Center
Bellin Memorial Hospital IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 50
Additional practice sites
- 744 S Webster Ave, Green Bay, WI
- 311 N 3rd Ave, Sturgeon Bay, WI
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 163W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-08-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin