Individual provider · Type 1 NPI
Mary Ellen Peterson, C-ANP
Nurse Practitioner · Stockholm, WI
Practice location
W12070 State Hwy 35
Stockholm, WI 54769-6127
Fax (715) 442-2351
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4576-033 (WI) |
| Nurse Practitioner Primary | 363L00000X | 0360774 (MN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
About NPI 1083621445
Mary Ellen Peterson, C-ANP's National Provider Identifier is 1083621445, issued on Aug 1, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Stockholm, WI. The record was last updated on Apr 7, 2025.